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

Impact Medical LLC

Organization Family Medicine Physician · NPI 1487529764

Impact Medical LLC is a Family Medicine Physician in Heber City, Utah. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
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

1776 N Highway 40 Ste 101
Heber City, UT 84032
Phone: (435) 294-2664
Fax: (801) 274-0049
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Public Health & General Preventive Medicine Physician (primary) Taxonomy 2083P0901X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1487529764
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Benjamin Fogg — Physician · (801) 712-2535
NPI enumeratedOctober 7, 2025
Last updated in NPPESOctober 7, 2025
Certification dateSeptember 23, 2025
Mailing address1776 N Highway 40, Ste 101, Heber City, UT 84032

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