Ihc Health Services Inc
Organization Active NPI Multi-Specialty Clinic/Center · Provo, UT
NPI 1669422101 · NPPES record last updated Nov 16, 2022
Key facts
- NPI
- 1669422101
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- License
- 2006HOSP210 (UT)
- Legal business name
- IHC HEALTH SERVICES INC
- Practice address
- 1034 N 500 W
Provo, UT 84604-3380 - Phone
- (801) 357-7475
- NPI assigned
- May 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Denis Smith
- Title
- Cfo
- Phone
- (801) 442-2000
Practitioners 41
-
Annabelle Wilcox Amick, PA-C
-
Kevin Glenn Baird, AUD.
-
Baylee Bankhead, PA-C
-
Lee W Bradshaw, APRN
-
Jacob Brown, MD, PHD
-
Eric Kent Cannon, M.D.
-
Lauren Jane Cox, FNP-C
-
John A Davis, MD
-
Michael Dorrough, M.D.
-
Patrice Ann Duvernay, M.D.
-
Colby Scott Engar, M.D.
-
Matthew William Harrison, M.D.
-
Richard Blaine Iverson, D.O.
-
Vance Bradley Johnson, M.D.
-
Kendell Ryan Klingler, M.D.
-
Joshua Q Knowlton, M.D., MPH
-
Ryan Meier, M.D.
-
James M Morgan, MD
-
Brad Steven Nance, M.D.
-
Tracy D. Nichols, MSN CPNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Locations
395 W Bulldog Blvd
Fl 4
Provo, UT 84604
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse |
163WD0400X | 2006HOSP210 | UT | |
| Multi-Specialty Clinic/Center | 261QM1300X | 2006HOSP210 | UT | Yes |
Addresses
Primary practice location
1034 N 500 W
Provo, UT 84604-3380
Mailing address
PO Box 30180
Salt Lake City, UT 84130-0180
Other names
- Utah Valley Hospital Physicians
Other providers in Provo, UT
- Ihc Health Services Inc
- Ihc Health Services Inc
- Ihc Health Services Inc
- Ihc Health Services Inc
- Ihc Health Services Inc
- Ihc Health Services Inc
- Ihc Health Services Inc
- Ihc Health Services Inc
- Ihc Health Services Inc
- Ihc Health Services Inc
All providers in Provo, UT · Multi-Specialty Clinic/Center in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.