NPIMap

Organization Active NPI

Ihc Health Services Inc

Doing business as Intermountain Sevier Valley Clinic

  • Family Medicine Physician
  • Richfield, UT
National Provider Identifier
1396872073
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
000179 Issued in UT
Legal business name
IHC HEALTH SERVICES INC
Doing business as
Intermountain Sevier Valley Clinic
Sevier Valley Orthopedics
Practice address
1000 N Main St Ste a
Richfield, UT 84701-2069
Phone
(435) 893-0580
NPI assigned
Feb 28, 2007
Last updated
Jul 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Authorized official

Name
Dr. Mark Briesacher, MD
Title
SVP-Chief Phy Executive
Phone
(801) 442-3495

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 000179 UT Primary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 000179 UT
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X

Addresses

Primary practice location

1000 N Main St Ste a
Richfield, UT 84701-2069

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128
Phone (435) 896-8254

Other practice location 1

1000 N Main St Ste B
Richfield, UT 84701-2069
Phone (435) 893-0800

Other practice location 2

130 S 300 E
Bicknell, UT 84715-0303
Phone (435) 893-0800

Other practice location 3

65 E 100 N
Gunnison, UT 84634-7709
Phone (435) 893-0800

Other practice location 4

1059 N 100 W
Beaver, UT 84713-7758
Phone (435) 893-0800

Other names 2

  • Intermountain Sevier Valley Clinic Doing business as
  • Sevier Valley Orthopedics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031105000079 UT Part B Supplier - Clinic/Group Practice 1850209420 Receives reassigned benefits from 1,923 practitioners
This NPI is an additional NPI on the enrollment
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

National Provider Directory

Locations

4403 Harrison Blvd
Ste 3490
Ogden, UT 84403
Phone (801) 387-2650

Practitioners & affiliated clinicians

Practitioners 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1396872073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128",
            "telephone_number": "435-896-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N MAIN ST STE A",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847012069",
            "telephone_number": "435-893-0580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 N Main St Ste B",
            "address_purpose": "LOCATION",
            "city": "Richfield",
            "state": "UT",
            "postal_code": "847012069",
            "country_code": "US",
            "telephone_number": "435-893-0800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 S 300 E",
            "address_purpose": "LOCATION",
            "city": "Bicknell",
            "state": "UT",
            "postal_code": "847150303",
            "country_code": "US",
            "telephone_number": "435-893-0800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 E 100 N",
            "address_purpose": "LOCATION",
            "city": "Gunnison",
            "state": "UT",
            "postal_code": "846347709",
            "country_code": "US",
            "telephone_number": "435-893-0800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1059 N 100 W",
            "address_purpose": "LOCATION",
            "city": "Beaver",
            "state": "UT",
            "postal_code": "847137758",
            "country_code": "US",
            "telephone_number": "435-893-0800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IHC HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "BRIESACHER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "SVP-CHIEF PHY EXECUTIVE",
        "authorized_official_telephone_number": "801-442-3495",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "000179",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "000179",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intermountain Sevier Valley Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Intermountain Sevier Valley Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sevier Valley Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richfield, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.