Active NPI
Ihc Health Services Inc
- Multi-Specialty Clinic/Center
- Evanston, WY
National Provider Identifier
1447484381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- IHC HEALTH SERVICES INC
- Practice address
- 150 Arrowhead Dr
Evanston, WY 82930-9353 - Phone
- (801) 507-3500
- NPI assigned
- May 6, 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
150 Arrowhead Dr
Evanston, WY 82930-9353
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 507-3533
Other names 1
- IMED Utah Heart - Evanston
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090107000451 | WY | Part B Supplier - Clinic/Group Practice | 1850209420 |
Receives reassigned benefits from 2 practitioners 8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Casper, WY |
Other NPIs on the same Medicare enrollment 8
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Multi-Specialty Clinic/Center
- Rock Springs, WY
- NPI 1043448756
O20090107000451
-
- Multi-Specialty Clinic/Center
- Green River, WY
- NPI 1740414689
O20090107000451
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Cardiac Electrophysiology Physician
- Murray, UT
- NPI 1417025628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1241568000000",
"number": "1447484381",
"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": "150 ARROWHEAD DR",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829309353",
"telephone_number": "801-507-3500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IHC HEALTH SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-06",
"last_updated": "2009-05-06",
"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 - Evanston",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Evanston, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.