Ihc Health Services Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

IHC HEALTH SERVICES INC

Doing business as

Intermountain Health Hospice Cedar City
Intermountain Health Hospice St. George

Practice address

555 S Bluff St Ste 100
St George, UT 84770-7320

Phone

(435) 251-2367

NPI assigned

Nov 21, 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 names 2

• Intermountain Health Hospice Cedar City Doing business as
• Intermountain Health Hospice St. George Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154496594. Details of each certification follow.

• CCN 461501 Hospice · Active · Details

Hospice certification: CCN 461501

Legal name

IHC HEALTH SERVICES INC

Doing business as

INTERMOUNTAIN HEALTH HOSPICE - ST. GEORGE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Feb 20, 1992

Last certification

Apr 6, 2022

Ownership / control type

Non-Profit - Private

Organization structure

CorporationNon-profit

Incorporated

Dec 10, 1982 in UT

Enrollment address

555 S Bluff St
Ste 100
St George, UT 84770-7320

Listed as

Intermountain Health Hospice - St. GeorgeCCN 461501 · All quality measures

Ownership

Non-Profit

Certified

Feb 20, 1992

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• American Fork Hospital

  dba American Fork Hospital Pharmacy

  • Institutional Pharmacy
  • American Fork, UT
  • NPI 1154674653
  NPD tax ID
• Ihc Health Services

  • Nursing Care Agency
  • Murray, UT
  • NPI 1184051880
  NPD tax ID
• Ihc Health Services Inc

  dba Dixie MFM High Risk OB

  • Obstetrics & Gynecology Physician
  • St George, UT
  • NPI 1134428279
  NPD tax ID
• Ihc Health Services Inc

  dba Ihc Health Center Pharmacy Memorial

  • Community/Retail Pharmacy
  • Salt Lake City, UT
  • NPI 1144337304
  NPD tax ID
• Ihc Health Services Inc

  dba Utah Valley Neonatology

  • Neonatal-Perinatal Medicine Physician
  • Provo, UT
  • NPI 1144521238
  NPD tax ID
• Ihc Health Services Inc

  dba West Valley Specialty Clinic

  • Internal Medicine Physician
  • West Valley City, UT
  • NPI 1144678251
  NPD tax ID
• Ihc Health Services Inc

  dba Intermountain Professional Radiology Services

  • Diagnostic Radiology Physician
  • Logan, UT
  • NPI 1144736372
  NPD tax ID
• Ihc Health Services Inc

  dba American Fork Neonatology

  • Clinic/Center
  • American Fork, UT
  • NPI 1144796665
  NPD tax ID
• Ihc Health Services Inc

  dba Intermountain Healthcare Mobile Mammography

  • Mobile Mammography Clinic/Center
  • Murray, UT
  • NPI 1144881434
  NPD tax ID
• Ihc Health Services Inc

  dba Intermountain Health Riverton Hospital

  • General Acute Care Hospital
  • Riverton, UT
  • NPI 1154551919
  NPD tax ID
• Ihc Health Services Inc

  dba Intermountain Nurse Midwives

  • Advanced Practice Midwife
  • Murray, UT
  • NPI 1154627206
  NPD tax ID
• Ihc Health Services Inc

  dba Budge Clinic Anticoagulation

  • Clinic/Center
  • Logan, UT
  • NPI 1154826618
  NPD tax ID

Locations

All disclosed owners & managing parties 14

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

Owners & managing parties with NPI records 2

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

• Shannon Cooke Baker, M.D.

  • Family Medicine Physician
  • West Jordan, UT
  • NPI 1518025360

  Corporate Director

  CMS ownership
• William Thomas Caine, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Murray, UT
  • NPI 1811075278

  Corporate Director

  CMS ownership

All facility ownership & control disclosures 44

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

Affiliated clinicians 5

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

• Joseph Kent Erbe, DO

  • Hospitalist Physician
  • St George, UT
  • NPI 1902003247

  Hospice

  Care Compare affiliation
• Todd Michael Garrett, M.D.

  • Internal Medicine Physician
  • Cedar City, UT
  • NPI 1255537429

  Hospice

  Care Compare affiliation
• Cort Berne Leavitt, MD

  • Hospitalist Physician
  • St George, UT
  • NPI 1326394693

  Hospice

  Care Compare affiliation
• Colin Thomas Marshall, DO

  • Family Medicine Physician
  • Cannonville, UT
  • NPI 1164751319

  Hospice

  Care Compare affiliation
• Shawn Gregory Mecham, D.O.

  • Hospitalist Physician
  • St George, UT
  • NPI 1174961361

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1154496594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11520 S REDWOOD RD",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840957805",
            "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": "555 S BLUFF ST STE 100",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847707320",
            "telephone_number": "435-251-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHC HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "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": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intermountain Health Hospice Cedar City",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Intermountain Health Hospice St. George",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ihc Health Services Inc (St George Maternal Fetal Medicine)
• Ihc Health Services Inc (Redrock Allergy Clinic)
• Ihc Health Services Inc (Intermountain Zion Orthopedics)
• Ihc Health Services Inc (Ihc Health Center Pharmacy St George)
• Ihc Health Services Inc (Dixie MFM High Risk OB)
• Ihc Health Services Inc (DRMC Sleep Disorders Center)
• Ihc Health Services Inc (House Calls - Southwest)
• Ihc Health Services Inc (Intermountain Kidney Services - St George)
• Ihc Health Services Inc (Southern Utah Plastic Surgery & Dermatology)
• Ihc Health Services Inc (Southwest Neurology Associates)

• Community Based Hospice Care Agency in St George, UT
• Providers in St George, UT by specialty
• Community Based Hospice Care Agency 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.