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 is a Family Medicine Physician 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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