Ihc Health Services Inc

Organization Active NPI Diagnostic Radiology Physician · Logan, UT

NPI 1144736372 · NPPES record last updated Aug 16, 2019

Key facts

NPI
1144736372
Entity type
Organization (NPI type 2)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
Legal business name
IHC HEALTH SERVICES INC
Practice address
1400 N 500 E
Logan, UT 84341-2455
Phone
(800) 399-6438
NPI assigned
Dec 26, 2017
Organization subpart
No

Authorized official

Name
Todd Craghead
Title
Finance VP - Revenue Cycle
Phone
(801) 442-1325

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in UT

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031105000079 UT Part B Supplier - Clinic/Group Practice 1850209420 Receives reassigned benefits from 1,923 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

Tax ID family
Bradley S Thompson DO (479 organizations share this tax ID)

Locations

1000 N Main St
Richfield, UT 84701
Phone (435) 893-4100

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
2085R0202X Yes

Addresses

Primary practice location

1400 N 500 E
Logan, UT 84341-2455

Mailing address

PO Box 30180
Salt Lake City, UT 84130-0180
Phone (800) 399-6438

Other names

  • Intermountain Professional Radiology Services Doing business as

Other providers in Logan, UT

All providers in Logan, UT · Diagnostic Radiology Physician in Utah

Sources for this page

Verify at the official NPI Registry.