Active NPI
Ihc Health Services Inc
Doing business as IMED Utah Heart - Jackson
- Multi-Specialty Clinic/Center
- Jackson, WY
National Provider Identifier
1396979159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- IHC HEALTH SERVICES INC
- Doing business as
- IMED Utah Heart - Jackson
- Practice address
- 625 E Broadway
Jackson, WY 83001-0000 - Phone
- (801) 507-3500
- NPI assigned
- May 8, 2009
- Last updated
- May 8, 2009
- 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
- Kelly J Howard
- Title
- Director
- Phone
- (801) 442-1425
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
625 E Broadway
Jackson, WY 83001-0000
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 507-3533
Other names 1
- IMED Utah Heart - Jackson
National Provider Directory
National Provider Directory- Tax ID family
- Ut Valley Med Ctr Pharm
Organizations with this tax ID in the same state 1
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1241740800000",
"number": "1396979159",
"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": "801-507-3533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 E BROADWAY",
"city": "JACKSON",
"state": "WY",
"postal_code": "830010000",
"telephone_number": "801-507-3500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IHC HEALTH SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-08",
"last_updated": "2009-05-08",
"status": "A",
"authorized_official_last_name": "HOWARD",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "801-442-1425"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "IMED Utah Heart - Jackson",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jackson, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.