Ihc Health Services, Inc.
Organization Active NPI Critical Access Hospital · Fillmore, UT
NPI 1154438596 · NPPES record last updated Jul 16, 2026
Key facts
- NPI
- 1154438596
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- License
- 2016-HOSP-25387 (UT)
- Legal business name
- IHC HEALTH SERVICES, INC.
- Practice address
- 674 S Highway 99
Fillmore, UT 84631-5013 - Phone
- (435) 743-5591
- NPI assigned
- Aug 23, 2006
- Organization subpart
- No
Authorized official
- Name
- Robert Allen
- Title
- Ceo
- Phone
- (801) 442-2000
Owners & managing parties with NPI records 3
-
Shannon Cooke Baker, M.D.
Corporate family (same tax ID) 24
Facilities with the same owner 31
Practitioners 13
-
Brent J Allen, MD
-
Jonathan Scott Bassett, M.D.
-
Wayne O Brown, MD
-
Jessica Davis, M.D.
-
Craig M. Grose, M.D.
-
Joshua Duain Brinkerhoff, M.D.
-
Edgar N Kemp III, DO
-
Ronald H. Crouch, MD
Affiliated clinicians 31
-
Brent J Allen, MD
-
Justin James Archibald, PA-C
-
Dalton Thomas Barton, PA-C
-
Jonathan Scott Bassett, M.D.
-
Jeffrey Logan Bell, CRNA
-
Ryan Richard Blad, FNP-C
-
Bret R Boyle, D.O.
-
Molly Brotherson, PA
-
Wayne O Brown, MD
-
Rhett Foster Crapo, D.O.
-
Joshua Arjaan Dekker, D.O.
-
Craig M. Grose, M.D.
-
Shane Harrison, CRNA
-
Brian Joseph Huber, DNP, FNP
-
Steven F Larsen, NP
-
Tyler James Ostlund, FNP-C
-
Joshua William Pinson, FNP-C
-
Cole W Robinson, MD
Medicare Care Compare: Hospital
- Listed as
- Intermountain Health Fillmore Community Hospital
- Type
- Critical Access Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in UT
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
- Corporation · Non-profit
- Incorporated
- Apr 1, 1975 in UT
- Enrollment address
- 674 S Highway 99
Fillmore, UT 84631-5013
Hospital certification: CCN 46Z301
- Legal name
- IHC HEALTH SERVICES INC
- Doing business as
- INTERMOUNTAIN HEALTH FILLMORE COMMUNITY HOSPITAL
- Organization structure
- Corporation · Non-profit
- Incorporated
- Apr 1, 1975 in UT
- Enrollment address
- 674 S Highway 99
Fillmore, UT 84631-5013
All disclosed owners & managing parties 23
| Name | Role | Since | Share |
|---|---|---|---|
| Shannon Cooke Baker |
Corporate Director |
Jun 1, 2024 | |
| Troy Spring |
Corporate Officer |
Feb 9, 2015 | |
| Corporate Officer |
Apr 1, 2022 | ||
| Denis Smith |
Corporate Officer |
Apr 1, 2022 | |
| Corporate Officer |
Apr 1, 2022 | ||
| Ihc Health Services Inc |
5% Or Greater Direct Ownership Interest | Jan 1, 1970 | 100% |
| 5% Or Greater Direct Ownership Interest | Sep 9, 2008 | 100% | |
| Andrea Wardle |
Corporate Officer |
Apr 28, 2008 | |
| W-2 Managing Employee |
Apr 28, 2008 | ||
| Benjamin Nelson |
Corporate Director |
Jun 1, 2025 | |
| Robert Pettitt |
Corporate Director |
Jun 7, 2023 | |
| Elizabeth Owens |
Corporate Director |
Jun 1, 2024 | |
| William Caine |
Corporate Director |
Jun 7, 2023 | |
| Ben Robinson |
Corporate Director |
Jun 1, 2025 | |
| Patricia Ricks |
Corporate Director |
Jun 1, 2024 | |
| Alan Pruhs |
Corporate Director |
Jun 1, 2025 | |
| Ze Min Xiao |
Corporate Director |
Jun 1, 2025 | |
| Kurt Forsyth |
Corporate Officer |
Feb 24, 2020 | |
| Corporate Officer |
Feb 24, 2020 | ||
| David Utrilla |
Corporate Director |
Jun 1, 2025 | |
| Deirdra Walsh |
Corporate Director |
Jun 7, 2023 | |
| Robert Spendlove |
Corporate Director |
Jun 1, 2024 | |
| Matt C Packard |
Corporate Director |
Jul 27, 2016 | |
| Eric W Liston |
Corporate Director |
Jan 5, 2026 | |
| Patricia K Ravert |
Corporate Director |
Oct 8, 2016 | |
| William Hulterstrom |
Corporate Director |
Jun 7, 2023 | |
| Robert W Allen |
Corporate Director |
Dec 1, 2022 | |
| Susan Robel |
Corporate Officer |
Apr 1, 2022 |
All facility ownership & control disclosures 42
| Facility | Type | Role | Since |
|---|---|---|---|
| Intermountain Health Cedar City Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1981 |
| Mountain View Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (15%) | Mar 31, 2023 |
| Intermountain Health St George Regional Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 1975 |
| Intermountain Health McKay-Dee Hospital |
Hospital | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Jan 1, 1976 Jan 1, 1976 |
| Intermountain Health Sevier Valley Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1976 |
| Intermountain Health Bear River Valley Hospital |
Hospital | 5% Or Greater Direct Ownership Interest | Jul 5, 1995 |
| Intermountain Health Logan Regional Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1970 |
| Intermountain Health Intermountain Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 1975 |
| Intermountain Health Alta View Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 7, 1982 |
| Intermountain Health American Fork Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1970 |
| Intermountain Health LDS Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1970 |
| Intermountain Health Orem Community Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 1975 |
| Intermountain Health Primary Children'S Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 1980 |
| Intermountain Health Utah Valley Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 1975 |
| Intermountain Health Sanpete Valley Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 1975 |
| Intermountain Health Cassia Regional Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 1975 |
| Intermountain Health Delta Community Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 1975 |
| Intermountain Health Heber Valley Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 1975 |
| Delta Community Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 29, 2008 |
| Heber Valley Hospital |
Hospital | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Apr 1, 1975 Apr 1, 1975 |
| Intermountain Medical Center-Rehabilitation |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Aug 7, 2007 |
| Ihc Health Services Inc |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Apr 1, 1975 Jan 1, 1976 |
| McKay Dee Hospital |
Hospital | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Jan 1, 1976 Jan 1, 1976 |
| Intermountain Health St George Regional Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 1975 |
| Sanpete Valley Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Apr 1, 1975 Apr 1, 1975 |
| Intermountain Health Park City Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1970 |
| Intermountain Health Riverton Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Nov 2, 2009 |
| Intermountain Health Garfield Memorial Hospital |
Hospital | Operational/Managerial Control | Jan 1, 2017 |
| Intermountain Health Garfield Memorial Hospital |
Hospital | Operational/Managerial Control | Jul 1, 2000 |
| Intermountain Health Layton Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1970 |
| Idaho Falls Community Hospital LLC |
Hospital | 5% Or Greater Direct Ownership Interest (20%) | Mar 31, 2023 |
| Intermountain Health Spanish Fork Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1970 |
| Cassia Regional Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 1975 |
| Logan Regional Hospital Transitional Care Unit |
Skilled nursing facility | Operational/Managerial Control | Jul 29, 2008 |
| Intermountain Health Home Health - Mt. Pleasant |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 1980 |
| Intermountain Health Home Health - Ogden |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1976 |
| Intermountain Health Home Health - St. George |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Mar 25, 2009 |
| Intermountain Health Hospice - Logan |
Hospice | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2009 |
| Garfield Memorial Hospital |
Rural health clinic | Operational/Managerial Control | Jan 21, 2010 |
| Garfield County |
Rural health clinic | Operational/Managerial Control | Apr 26, 2010 |
| Bryce Valley Clinic |
Rural health clinic | Operational/Managerial Control | Apr 26, 2010 |
| Upper Valley Familymedicine |
Rural health clinic | 5% Or Greater Direct Ownership Interest | Apr 7, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Bradley S Thompson DO
Locations
674 S Highway 99
Fillmore, UT 84631
Phone (435) 743-5555
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 | Yes |
| 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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2137228 | Other | PK |
Other names
- Intermountain Health Fillmore Community Hospital
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark LLC / Office Ally |
Other providers in Fillmore, UT
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All providers in Fillmore, UT · Critical Access Hospital in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.