Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Impact Community Services LLC

Organization Family Medicine Physician · NPI 1952279762

Impact Community Services LLC provides Family Medicine Physician services in Salt Lake City, Utah. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

202 E 5900 S
Salt Lake City, UT 84107-7330
Phone: (385) 775-0777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1952279762
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jazzamin Clark — Manager · (385) 775-0777
NPI enumeratedOctober 24, 2025
Last updated in NPPESOctober 24, 2025
Certification dateOctober 24, 2025
Mailing address202 E 5900 S, Salt Lake City, UT 84107-7330

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