NPIMap

Organization Active NPI

Ihc Health Services, Inc.

Doing business as Intermountain Health St. George Regional Hospital

  • General Acute Care Hospital
  • St George, UT
National Provider Identifier
1366452880
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
2005-HOSP-178 Issued in UT
Legal business name
IHC HEALTH SERVICES, INC.
Doing business as
Intermountain Health St. George Regional Hospital
Practice address
1380 E Medical Center Dr
St George, UT 84790-2123
Phone
(435) 251-1000
NPI assigned
Aug 8, 2006
Last updated
Aug 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 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
Psychiatric Hospital Unit 273R00000X 2005-HOPS-178 UT
Rehabilitation Hospital Unit 273Y00000X 46-HOSP-178 UT
General Acute Care Hospital 282N00000X 2005-HOSP-178 UT Primary
Land Ambulance 3416L0300X 2738L UT

Addresses

Primary practice location

1380 E Medical Center Dr
St George, UT 84790-2123

Mailing address

PO Box 30180
Salt Lake City, UT 84130-0180

Other names 1

  • Intermountain Health St. George Regional 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 UT3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20030919000020 UT Part A Provider - Hospital 1850209420 Practice locations: St George, UT; Hurricane, UT
O20070925000370 UT Part A Provider - Hospital 1850209420 Practice locations: St George, UT
O20110815000151 UT Part B Supplier - Ambulance Service Supplier 1850209420 1 other NPI on this enrollment
Practice locations: St George, UT; Salt Lake City, UT; Roosevelt, UT; Ogden, UT; Provo, UT; Murray, UT

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1366452880. Details of each certification follow.

Hospital certification: CCN 460021

Legal name
IHC HEALTH SERVICES INC
Doing business as
INTERMOUNTAIN HEALTH ST GEORGE REGIONAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 3, 2012
Beds
300
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Apr 1, 1975 in UT
Enrollment address
1380 E Medical Center Dr
St George, UT 84790-2123
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Hospital certification: CCN 46T021

Legal name
IHC HEALTH SERVICES INC
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1976 in UT
Enrollment address
1380 E Medical Center Dr
St George, UT 84790-2123
Other Hospital Practice Location
Hospital subgroups
Rehabilitation unit

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
St. George Regional HospitalCCN 460021 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Dixie Regional Medical CenterCCN 46T021 · All quality measures
Ownership
Non-profit
Certified
Jan 1, 2017

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D1015644Intermountain Health St George Regional Hospital1380 E Medical Center Drive, St George, UT 84790AccreditationMay 11, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1165 S Dora St
Ste A1
Ukiah, CA 95482
Phone (707) 468-1010

10001 S Eastern Ave
Ste 200
Henderson, NV 89052
Phone (702) 483-4483

330 N Sandhill Blvd
Ste F1
Mesquite, NV 89027
Phone (702) 346-4622

5217 S State St
Salt Lake City, UT 84107
Phone (801) 313-4118

1350 E Medical Ctr Dr
St George, UT 84790

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Devaraj a Ramsamy Individual Corporate OfficerFinance Director Apr 28, 2024
Corporate OfficerRegion President Apr 28, 2024
Justin Bollenback Individual Corporate OfficerFinancial Administrator Oct 9, 2022
Troy Spring Individual Corporate OfficerRevenue Services VP Feb 9, 2015
Corporate OfficerRevenue Services VP Apr 1, 2022
Mitchell Cloward Individual Corporate OfficerRegion President Dec 1, 2017
Corporate OfficerRegion President Jul 24, 2023
Derrick Haslem Individual Corporate DirectorBoard Trustee Jan 1, 2023
Corporate DirectorTrustee Jan 1, 2023
Evan Vickers Individual Corporate DirectorBoard Trustee Jan 1, 2023
Corporate DirectorTrustee Jan 1, 2023
Ihc Health Services Inc Organization, Salt Lake City, UT Non-profit 5% Or Greater Direct Ownership Interest Apr 1, 1975 100%
Operational/Managerial Control Jan 1, 1976
Elizabeth a Beckman Individual Corporate Director Apr 1, 2022
Corporate DirectorTrustee Apr 1, 2022
Russell Childs Individual Corporate DirectorBoard Trustee Jan 1, 2023
Corporate DirectorTrustee Jan 1, 2023
Sylvester N Berube Individual Corporate DirectorBoard Member Dec 31, 2011 100%
Corporate DirectorTrustee Apr 1, 2022
Natalie Jo Ashby Individual Corporate OfficerAdministrator Aug 21, 2023
Cyndi Woodbury Gilbert Individual Corporate DirectorBoard Trustee Jan 1, 2023
Corporate DirectorTrustee Jan 1, 2023
Danny K Shaw Individual Corporate DirectorBoard Trustee Jan 1, 2023
Corporate DirectorTrustee Jan 1, 2023
Nicole Mouskondis Individual Corporate DirectorBoard Trustee Jan 1, 2023
Corporate DirectorTrustee Jan 1, 2023
Keith Whitfield Individual Corporate DirectorBoard Trustee Jan 1, 2023
Corporate DirectorTrustee Jan 1, 2023
Reuben Evans Individual Corporate OfficerNurse Administrator Oct 1, 2023
W-2 Managing EmployeeNurse Administrator Oct 1, 2023
Robert W Allen Individual Corporate DirectorBoard Member Dec 1, 2022
Corporate DirectorCeo Dec 1, 2022

Owners & managing parties with NPI records 1

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 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 Fillmore Community HospitalFillmore, UT, CCN 461301 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1970
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
Intermountain Health Fillmore Community HospitalFillmore, UT, CCN 46Z301 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 9, 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
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 74

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 74

Affiliated clinicians 969

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

View all 969

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1366452880",
    "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": "1380 E MEDICAL CENTER DR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902123",
            "telephone_number": "435-251-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHC HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "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": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "UT",
            "license": "2005-HOPS-178",
            "primary": false
        },
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "UT",
            "license": "46-HOSP-178",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "UT",
            "license": "2005-HOSP-178",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "UT",
            "license": "2738L",
            "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 St. George Regional Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.