NPIMap

Organization Active NPI

Ihc Health Services, Inc.

Doing business as Intermountain Health Fillmore Community Hospital

  • Critical Access Hospital
  • Fillmore, UT
National Provider Identifier
1154438596
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
2016-HOSP-25387 Issued in UT
Legal business name
IHC HEALTH SERVICES, INC.
Doing business as
Intermountain Health Fillmore Community Hospital
Practice address
674 S Highway 99
Fillmore, UT 84631-5013
Phone
(435) 743-5591
NPI assigned
Aug 23, 2006
Last updated
Jul 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

Name
Robert Allen
Title
Ceo
Phone
(801) 442-2000

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 2013-HOSP-25387 UT
Critical Access Hospital 282NC0060X 2013-HOSP-25387 UT
Critical Access Hospital 282NC0060X 2016-HOSP-25387 UT Primary
Institutional Pharmacy 3336I0012X 130885-1704 UT

Addresses

Primary practice location

674 S Highway 99
Fillmore, UT 84631-5013

Mailing address

PO Box 30180
Salt Lake City, UT 84130-0180

Other names 1

  • Intermountain Health Fillmore Community Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark LLC / Office Ally

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061104000535 UT Part A Provider - Critical Access Hospital 1850209420 Receives reassigned benefits from 12 practitioners
Practice locations: Fillmore, UT
O20070921000108 UT Part A Provider - Critical Access Hospital 1850209420 Practice locations: Fillmore, UT

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1154438596. Details of each certification follow.

Hospital certification: CCN 461301

Legal name
IHC HEALTH SERVICES INC
Doing business as
INTERMOUNTAIN HEALTH FILLMORE COMMUNITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Aug 12, 2002
Last certification
Jun 29, 2022
Beds
19
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Apr 1, 1975 in UT
Enrollment address
674 S Highway 99
Fillmore, UT 84631-5013
Main/Primary Hospital Location

Hospital certification: CCN 46Z301

Legal name
IHC HEALTH SERVICES INC
Doing business as
INTERMOUNTAIN HEALTH FILLMORE COMMUNITY HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Apr 1, 1975 in UT
Enrollment address
674 S Highway 99
Fillmore, UT 84631-5013
Hospital Swing-Bed Unit

Care Compare: Hospital

Medicare Care Compare
Listed as
Intermountain Health Fillmore Community HospitalCCN 461301 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Mark Wesselman MD485 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.

View all 24

Locations

674 S Highway 99
Fillmore, UT 84631
Phone (435) 743-5555

Ownership & related parties

All disclosed owners & managing parties 23

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Shannon Cooke Baker Individual Corporate DirectorBoard Trustee Jun 1, 2024
Troy Spring Individual Corporate OfficerRevenue Services VP Feb 9, 2015
Corporate OfficerVP Revenue Cycle Apr 1, 2022
Denis Smith Individual Corporate OfficerFinancial Administrator Apr 1, 2022
Corporate OfficerRegion VP Finance Apr 1, 2022
Ihc Health Services Inc Organization, Salt Lake City, UT Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Jan 1, 1970 100%
5% Or Greater Direct Ownership Interest Sep 9, 2008 100%
Andrea Wardle Individual Corporate OfficerNurse Administrator Apr 28, 2008
W-2 Managing EmployeeNurse Administrator Apr 28, 2008
Benjamin Nelson Individual Corporate DirectorBoard Trustee Jun 1, 2025
Robert Pettitt Individual Corporate DirectorBoard Trustee Jun 7, 2023
Elizabeth Owens Individual Corporate DirectorBoard Trustee Jun 1, 2024
William Caine Individual Corporate DirectorBoard Trustee Jun 7, 2023
Ben Robinson Individual Corporate DirectorBoard Trustee Jun 1, 2025
Patricia Ricks Individual Corporate DirectorBoard Trustee Jun 1, 2024
Alan Pruhs Individual Corporate DirectorBoard Trustee Jun 1, 2025
Ze Min Xiao Individual Corporate DirectorBoard Trustee Jun 1, 2025
Kurt Forsyth Individual Corporate OfficerAdministrator Feb 24, 2020
Corporate OfficerHospital Administrator Feb 24, 2020
David Utrilla Individual Corporate DirectorBoard Trustee Jun 1, 2025
Deirdra Walsh Individual Corporate DirectorBoard Trustee Jun 7, 2023
Robert Spendlove Individual Corporate DirectorBoard Trustee Jun 1, 2024
Matt C Packard Individual Corporate DirectorBoard Member Jul 27, 2016
Eric W Liston Individual Corporate DirectorBoard Trustee Jan 5, 2026
Patricia K Ravert Individual Corporate DirectorBoard Member Oct 8, 2016
William Hulterstrom Individual Corporate DirectorBoard Trustee Jun 7, 2023
Robert W Allen Individual Corporate DirectorCeo Dec 1, 2022
Susan Robel Individual Corporate OfficerRegional President Apr 1, 2022

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 42

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

FacilityTypeRoleSince
Intermountain Health Cedar City HospitalCedar City, UT, CCN 460007 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1981
Mountain View HospitalIdaho Falls, ID, CCN 130065 Hospital 5% Or Greater Direct Ownership Interest (15%) Mar 31, 2023
Intermountain Health St George Regional HospitalSt George, UT, CCN 460021 Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 1, 1975
Intermountain Health McKay-Dee HospitalOgden, UT, CCN 460004 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jan 1, 1976
Jan 1, 1976
Intermountain Health Sevier Valley HospitalRichfield, UT, CCN 460026 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1976
Intermountain Health Bear River Valley HospitalTremonton, UT, CCN 460039 Hospital 5% Or Greater Direct Ownership Interest Jul 5, 1995
Intermountain Health Logan Regional HospitalLogan, UT, CCN 460015 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1970
Intermountain Health Intermountain Medical CenterMurray, UT, CCN 460010 Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 1, 1975
Intermountain Health Alta View HospitalSandy, UT, CCN 460044 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 7, 1982
Intermountain Health American Fork HospitalAmerican Fork, UT, CCN 460023 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1970
Intermountain Health LDS HospitalSalt Lake City, UT, CCN 460006 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1970
Intermountain Health Orem Community HospitalOrem, UT, CCN 460043 Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 1, 1975
Intermountain Health Primary Children's HospitalSalt Lake City, UT, CCN 463301 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 1, 1980
Intermountain Health Utah Valley HospitalProvo, UT, CCN 460001 Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 1, 1975
Intermountain Health Sanpete Valley HospitalMount Pleasant, UT, CCN 461303 Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 1, 1975
Intermountain Health Cassia Regional HospitalBurley, ID, CCN 131326 Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 1, 1975
Intermountain Health Delta Community HospitalDelta, UT, CCN 461300 Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 1, 1975
Intermountain Health Heber Valley HospitalHeber City, UT, CCN 461307 Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 1, 1975
Delta Community HospitalDelta, UT, CCN 46Z300 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 29, 2008
Heber Valley HospitalHeber City, UT, CCN 46Z307 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Apr 1, 1975
Apr 1, 1975
Intermountain Medical Center-RehabilitationMurray, UT, CCN 46T010 Hospital 5% Or Greater Direct Ownership Interest (100%) Aug 7, 2007
Ihc Health Services IncSt George, UT, CCN 46T021 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Apr 1, 1975
Jan 1, 1976
McKay Dee HospitalOgden, UT, CCN 46T004 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jan 1, 1976
Jan 1, 1976
Intermountain Health St George Regional HospitalProvo, UT, CCN 46T001 Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 1, 1975
Sanpete Valley HospitalMt Pleasant, UT, CCN 46Z303 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Apr 1, 1975
Apr 1, 1975
Intermountain Health Park City HospitalPark City, UT, CCN 460057 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1970
Intermountain Health Riverton HospitalRiverton, UT, CCN 460058 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 2, 2009
Intermountain Health Garfield Memorial HospitalPanguitch, UT, CCN 461333 Hospital Operational/Managerial Control Jan 1, 2017
Intermountain Health Garfield Memorial HospitalPanguitch, UT, CCN 46Z333 Hospital Operational/Managerial Control Jul 1, 2000
Intermountain Health Layton HospitalLayton, UT, CCN 460061 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1970
Idaho Falls Community Hospital LLCIdaho Falls, ID, CCN 130074 Hospital 5% Or Greater Direct Ownership Interest (20%) Mar 31, 2023
Intermountain Health Spanish Fork HospitalSpanish Fork, UT, CCN 460062 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1970
Cassia Regional HospitalBurley, ID, CCN 13Z326 Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 1, 1975
Logan Regional Hospital Transitional Care UnitLogan, UT, CCN 465123 Skilled nursing facility Operational/Managerial Control Jul 29, 2008
Intermountain Health Home Health - Mt. PleasantMount Pleasant, UT, CCN 467016 Home health agency 5% Or Greater Direct Ownership Interest (100%) Aug 1, 1980
Intermountain Health Home Health - OgdenOgden, UT, CCN 467004 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1976
Intermountain Health Home Health - St. GeorgeSt George, UT, CCN 467033 Home health agency 5% Or Greater Direct Ownership Interest (100%) Mar 25, 2009
Intermountain Health Hospice - LoganLogan, UT, CCN 461504 Hospice 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2009
Garfield Memorial HospitalPanguitch, UT, CCN 463984 Rural health clinic Operational/Managerial Control Jan 21, 2010
Garfield CountyCircleville, UT, CCN 463980 Rural health clinic Operational/Managerial Control Apr 26, 2010
Bryce Valley ClinicCannonville, UT, CCN 463981 Rural health clinic Operational/Managerial Control Apr 26, 2010
Upper Valley FamilymedicineRigby, ID, CCN 138538 Rural health clinic 5% Or Greater Direct Ownership Interest Apr 7, 2025

Facilities with the same owner 31

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 31

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

Affiliated clinicians 31

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1154438596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30180",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841300180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "674 S HIGHWAY 99",
            "city": "FILLMORE",
            "state": "UT",
            "postal_code": "846315013",
            "telephone_number": "435-743-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHC HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-442-2000"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "UT",
            "license": "2013-HOSP-25387",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "UT",
            "license": "2013-HOSP-25387",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "UT",
            "license": "2016-HOSP-25387",
            "primary": true
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "UT",
            "license": "130885-1704",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Intermountain Health Fillmore Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fillmore, UT

Sources for this page

Verify at the official NPI Registry.