Impact Community Services LLC
NPI 1952279762 · Family Medicine Physician · Salt Lake City, UT
Impact Community Services LLC is a Family Medicine Physician organization in Salt Lake City, UT (NPI 1952279762).
Provider details
- NPI number
- 1952279762
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jazzamin Clark, Manager(385) 775-0777
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-10-24
- Last updated
- 2025-10-24
- Certified
- 2025-10-24
Frequently asked questions
- What is Impact Community Services LLC's NPI number?
- Impact Community Services LLC's National Provider Identifier (NPI) is 1952279762, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Impact Community Services LLC?
- Impact Community Services LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Impact Community Services LLC located?
- Impact Community Services LLC's practice location on file with NPPES is 202 E 5900 S, Salt Lake City, UT 84107-7330.
- What is Impact Community Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Impact Community Services LLC is (385) 775-0777.
- Who is the authorized official for Impact Community Services LLC?
- The authorized official listed on Impact Community Services LLC's NPPES record is Jazzamin Clark, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Impact Community Services LLC's NPI active?
- Yes — Impact Community Services LLC's NPI (1952279762) is active in the NPPES registry as of the last update on 2025-10-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.