Active NPI
Ihc Health Services Inc
- Family Medicine Physician
- Murray, UT
National Provider Identifier
1700259207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- IHC HEALTH SERVICES INC
- Practice address
- 5373 S Green St Ste 400
Murray, UT 84123-4740 - Phone
- (801) 442-5502
- NPI assigned
- Nov 5, 2015
- 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
- Dr. Mark Briesacher, MD
- Title
- SVP - Chief Phy Executive
- Phone
- (801) 442-3495
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
5373 S Green St Ste 400
Murray, UT 84123-4740
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 442-4537
Other names 1
- Connect Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7302 S Bingham Junction Blvd
Midvale, UT 84047
Phone (801) 442-3300
412 W 800 N
Orem, UT 84057
Phone (801) 235-7246
1055 N 500 W
#212
Provo, UT 84604
Phone (385) 203-2720
181 E Medical Tower Dr
Salt Lake City, UT 84107
Phone (801) 314-4266
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- West Jordan, UT
- NPI 1710900568
-
- Registered Dietitian
- Murray, UT
- NPI 1730697137
-
- Gynecologic Oncology Physician
- Salt Lake City, UT
- NPI 1790794568
-
- Physical Therapist
- Park City, UT
- NPI 1194249201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446681600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609977600000",
"number": "1700259207",
"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": "801-442-4537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5373 S GREEN ST STE 400",
"city": "MURRAY",
"state": "UT",
"postal_code": "841234740",
"telephone_number": "801-442-5502"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IHC HEALTH SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-05",
"last_updated": "2021-01-07",
"certification_date": "2021-01-07",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Connect Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Connect Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.