Ihc Health Services Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

IHC HEALTH SERVICES INC

Doing business as

Intermountain Health Home Medical Equipment Salt Lake

Practice address

11520 S Redwood Road
South Jordan, UT 84095

Phone

(385) 887-6000

Fax

(801) 442-0603

NPI assigned

Oct 4, 2006

Last updated

Jan 29, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark Provan

Title

VP-Homecare Hospice Palliative Care

Phone

(801) 442-2000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Intermountain Health Home Medical Equipment Salt Lake Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Tax ID family

Robert E Fowles MD482 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Ihc Health Services

  • Rehabilitation Hospital
  • Logan, UT
  • NPI 1124188388
  NPD tax ID
• Ihc Health Services Inc

  dba Utah Valley Anticoagulation

  • Family Nurse Practitioner
  • Provo, UT
  • NPI 1083411797
  NPD tax ID
• Ihc Health Services Inc

  dba East Logan - Family Medicine

  • Family Medicine Physician
  • Logan, UT
  • NPI 1083430425
  NPD tax ID
• Ihc Health Services Inc

  dba Intermountain Highland Clinic

  • Family Medicine Physician
  • Highland, UT
  • NPI 1083742589
  NPD tax ID
• Ihc Health Services Inc

  dba Intermountain Springville WorkMed

  • Occupational Medicine Physician
  • Springville, UT
  • NPI 1083817043
  NPD tax ID
• Ihc Health Services Inc

  dba St George Maternal Fetal Medicine

  • Maternal & Fetal Medicine Physician
  • St George, UT
  • NPI 1093013203
  NPD tax ID
• Ihc Health Services Inc

  • Diagnostic Ultrasound Physician
  • American Fork, UT
  • NPI 1093830663
  NPD tax ID
• Ihc Health Services Inc

  dba Redrock Allergy Clinic

  • Allergy & Immunology Physician
  • St George, UT
  • NPI 1093958605
  NPD tax ID
• Ihc Health Services Inc

  dba Utah Valley Hyperbaric and Wound Care

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Provo, UT
  • NPI 1104127901
  NPD tax ID
• Ihc Health Services Inc

  dba Intermountain Health Addiction Medicine & Recovery Clinic - Logan

  • Methadone Clinic
  • Logan, UT
  • NPI 1104461060
  NPD tax ID
• Ihc Health Services Inc

  dba Ihc Health Center Pharmacy St George

  • Community/Retail Pharmacy
  • St George, UT
  • NPI 1114034824
  NPD tax ID
• Ihc Health Services Inc

  dba Aspen OB/Gyn

  • Obstetrics & Gynecology Physician
  • Provo, UT
  • NPI 1114191517
  NPD tax ID

All facility ownership & control disclosures 44

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1104912732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11520 S REDWOOD ROAD",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "84095",
            "telephone_number": "385-887-6000",
            "fax_number": "801-442-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11520 S REDWOOD ROAD",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "84095",
            "telephone_number": "385-887-6000",
            "fax_number": "801-442-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHC HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "PROVAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "VP-HOMECARE HOSPICE PALLIATIVE CARE",
        "authorized_official_telephone_number": "801-442-2000"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104912732",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intermountain Health Home Medical Equipment Salt Lake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Hurd, PHARMD
• Carson Hussey, BSN, RN
• Richard Andrew Hutchison
• Katie Hymas, FNP
• I2 Collaborative, LLC (i2C)
• Ihc Health Services Inc (Palliative Care-Home Based)
• Ihc Health Services Inc (Intermountain Health Infusion Pharmacy Salt Lake)
• Ihc Health Services Inc (Intermountain Health Home Health Heber City)
• Ihc Health Services Inc (Post Acute Care - Clinical)
• Ihc Health Services Inc (Intermountain at Home)

• Durable Medical Equipment & Medical Supplies in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Durable Medical Equipment & Medical Supplies in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.