Ihc Health Services, Inc.

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

IHC HEALTH SERVICES, INC.

Doing business as

Intermountain Health Primary Children's Hospital
PCH Pediatric Day Program-Centerville

Practice address

190 S Main St Ste B
Centerville, UT 84014-2839

Phone

(866) 415-6556

NPI assigned

Oct 30, 2026

Last updated

Oct 30, 2026By the provider in NPPES

Organization subpart

No

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 1

Addresses

Other names 2

• Intermountain Health Primary Children's Hospital Doing business as
• PCH Pediatric Day Program-Centerville Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1793318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793318400000",
    "number": "1609774314",
    "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": "190 S MAIN ST STE B",
            "city": "CENTERVILLE",
            "state": "UT",
            "postal_code": "840142839",
            "telephone_number": "866-415-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHC HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-30",
        "last_updated": "2026-10-30",
        "certification_date": "2026-10-30",
        "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": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Primary Children's Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PCH Pediatric Day Program-Centerville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Todd Huffaker, DDS
• Jared James Hultquist, PT, DPT
• Alexa Nicole Humphris
• Kajsa Hurtado
• Hutchinson Care Center LLC
• Integrated Dermatology of Bountiful LLC
• Madison Lee James
• Katrina Jensen
• Trisha Tage Jensen, LCSW
• Keith Thomas Jenson

• Adolescent and Children Mental Health Clinic/Center in Centerville, UT
• Providers in Centerville, UT by specialty
• Adolescent and Children Mental Health Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.