Active NPI
Ihc Health Services Inc
Doing business as Intermountain Health Home Medical Equipment Provo
- Durable Medical Equipment & Medical Supplies
- Provo, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- IHC HEALTH SERVICES INC
- Doing business as
- Intermountain Health Home Medical Equipment Provo
- Practice address
- 289 W 1230 N
Provo, UT 84604-2546 - Phone
- (801) 224-3382
- NPI assigned
- Sep 20, 2006
- Last updated
- Jan 29, 2025
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
289 W 1230 N
Provo, UT 84604-2546
Mailing address
11520 S Redwood Rd
South Jordan, UT 84095-7805
Phone (385) 887-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386741304 | Medicaid | UT |
Other names 1
- Intermountain Health Home Medical Equipment Provo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930039320 | UT | DME Supplier - Medical Supply Company | 1850209420 | Practice locations: Provo, UT |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Intermountain Homecare | Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Gastric Suction Pumps|Hospital Beds (Electric)|Hospital Beds (Manual)|Negative Pressure Wound Therapy Pumps/Supplies|Pneumatic Compression Devices and/or Supplies|Speech Generating Devices|Support Surfaces: Pressure Reducing Beds/Ma… | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Robert E Fowles MD
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.
-
- Custodial Care Facility
- Tremonton, UT
- NPI 1366650343
-
dba McKay Dee Critical Care
- Critical Care Medicine (Internal Medicine) Physician
- Ogden, UT
- NPI 1366764813
-
dba Murray KidsCare
- Pediatric Emergency Medicine (Pediatrics) Physician
- Murray, UT
- NPI 1366771917
-
dba Intermountain Sevier Valley Pharmacy
- Community/Retail Pharmacy
- Richfield, UT
- NPI 1366871410
-
dba LDS Critical Care
- Critical Care Medicine (Internal Medicine) Physician
- Salt Lake City, UT
- NPI 1376016618
-
dba Cedar City WorkMed
- Preventive Medicine/Occupational Environmental Medicine Physician
- Cedar City, UT
- NPI 1376744086
-
dba IMED Cardiovascular Intensivists
- Hospitalist Physician
- Murray, UT
- NPI 1376971663
-
dba Palliative Care-Home Based
- Clinic/Center
- South Jordan, UT
- NPI 1386150597
-
dba Dixie Inpatient Psychiatry
- Psychiatry Physician
- St George, UT
- NPI 1386900850
-
dba Holladay Allergy and Dermatology
- Allergy & Immunology Physician
- Murray, UT
- NPI 1386908994
-
dba Heber Valley Specialty Clinic
- Internal Medicine Physician
- Heber City, UT
- NPI 1396155065
Locations
289 W 1230 N
Provo, UT 84604
Phone (801) 224-3382
Ownership & related parties
All facility ownership & control disclosures 44
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| 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 Fillmore Community Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1970 |
| 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 |
| Intermountain Health Fillmore Community Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Sep 9, 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 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738108800000",
"number": "1386741304",
"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": "289 W 1230 N",
"city": "PROVO",
"state": "UT",
"postal_code": "846042546",
"telephone_number": "801-224-3382"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IHC HEALTH SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"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": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1386741304",
"state": "UT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Intermountain Health Home Medical Equipment Provo",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Provo, UT
- Ihc Health Services Inc (Utah Valley Rock Canyon Pediatric Specialists)
- Ihc Health Services Inc (Utah Valley Heart Lung Vein)
- Ihc Health Services Inc (Utah Valley Physical Medicine and Rehab)
- Ihc Health Services Inc (Utah Valley Rheumatology)
- Ihc Health Services Inc (Intermountain Utah Valley Pulmonary)
- Ihc Health Services Inc (Intermountain Provo InstaCare)
- Ihc Health Services Inc (UVH Live Well Center - Utah Valley)
- Ihc Health Services Inc (Utah Valley TIA/Stroke Clinic)
- Ihc Health Services Inc (Live Well Center - Utah Valley)
- Ihc Health Services Inc (UVRMC Physicians Billing)
Sources for this page
- 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.