NPIMap

Ihc Health Services Inc

Organization Active NPI Psychiatry Physician · Ogden, UT

NPI 1154888907 · NPPES record last updated Oct 1, 2019

Key facts

NPI
1154888907
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatry Physician 2084P0800X
Legal business name
IHC HEALTH SERVICES INC
Practice address
4401 Harrison Blvd
Ogden, UT 84403-3195
Phone
(801) 387-5543
NPI assigned
Feb 28, 2019
Organization subpart
No

Authorized official

Name
Mark Briesacher, MD
Title
SVP-Chief Phys Exec/Pres-Im Group
Phone
(801) 442-3495

Corporate family (same tax ID) 24

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

Practitioners 9

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

  • Anna Dean, PA Medical Physician Assistant · Salt Lake City, UT · NPI 1467888636
    NPD
  • Julie Gainer, DO Maternal & Fetal Medicine Physician · Provo, UT · NPI 1538106414
    NPD
  • Brian Grier, MPAS Physician Assistant · American Fork, UT · NPI 1477072015
    NPD
  • Clayton Halford, PA Physician Assistant · Ogden, UT · NPI 1346603693
    NPD
  • Nicole Porter Harlan, MD Critical Care Medicine (Internal Medicine) Physician · Murray, UT · NPI 1679866560
    NPD
  • Jennifer Mijer, M.D. Pediatrics Physician · Riverton, UT · NPI 1255793824
    NPD
  • Lee Dupont Trotter, DO Pediatric Surgery Physician · Orem, UT · NPI 1013986157
    NPD
  • Blair Monell, PA Physician Assistant · San Luis Obispo, CA · NPI 1255617544
    NPD
  • Morgan Watkins, FNP-BC Registered Nurse · Murfreesboro, TN · NPI 1881948784
    NPD

Medicare participation

Medicare fee-for-service enrollment
Enrolled in UT

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20080610000303 UT Part B Supplier - Clinic/Group Practice 1850209420 Receives reassigned benefits from 4,146 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

3903 Medical Dr
Ste 300
Ogden, UT 84403
Phone (801) 387-5600

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 2084P0800X Yes

Addresses

Primary practice location

4401 Harrison Blvd
Ogden, UT 84403-3195

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 387-5543

Other names

  • Behavioral Health Access - MKDH Doing business as

Other providers in Ogden, UT

All providers in Ogden, UT · Psychiatry Physician in Utah

Sources for this page

Verify at the official NPI Registry.