Organization · Type 2 NPI

Impact Community Services LLC

Family Medicine Physician · Salt Lake City, UT

NPI number 1952279762 Active

Practice location

202 E 5900 S
Salt Lake City, UT 84107-7330

Call (385) 775-0777 Map

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1952279762

Impact Community Services LLC's National Provider Identifier is 1952279762, issued on Oct 24, 2025. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Oct 24, 2025.