NPIMap

Organization Active NPI

Ihc Health Services Inc

Doing business as Intermountain Life Flight

  • Air Ambulance
  • Salt Lake City, UT
National Provider Identifier
1184963522
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
License
3002L Issued in UT
Legal business name
IHC HEALTH SERVICES INC
Doing business as
Intermountain Life Flight
Practice address
250 N 2370 W
Salt Lake City, UT 84116-2936
Phone
(801) 321-3330
NPI assigned
Feb 5, 2013
Last updated
May 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Authorized official

Name
Ms. Pamela Moore
Title
Executive Director
Phone
(801) 718-9275

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X 3002L UT Primary

Addresses

Primary practice location

250 N 2370 W
Salt Lake City, UT 84116-2936

Mailing address

PO Box 30180
Salt Lake City, UT 84130-0180
Phone (801) 321-3330

Other names 1

  • Intermountain Life Flight Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110815000151 UT Part B Supplier - Ambulance Service Supplier 1850209420 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: St George, UT; Salt Lake City, UT; Roosevelt, UT; Ogden, UT; Provo, UT; Murray, UT

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Robert E Fowles MD482 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

NPI Registry JSON

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1184963522",
    "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",
            "telephone_number": "801-321-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N 2370 W",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841162936",
            "telephone_number": "801-321-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHC HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-718-9275",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "UT",
            "license": "3002L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intermountain Life Flight",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Intermountain Life Flight",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.