Ihc Health Services Inc
Organization Active NPI Multi-Specialty Clinic/Center · Heber City, UT
NPI 1720032865 · NPPES record last updated Nov 16, 2022
Key facts
- NPI
- 1720032865
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- License
- 2006HOSP213 (UT)
- Legal business name
- IHC HEALTH SERVICES INC
- Practice address
- 454 E Medical Way
Heber City, UT 84032-1391 - Phone
- (435) 654-2500
- NPI assigned
- May 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Denis Smith
- Title
- Cfo
- Phone
- (801) 442-2000
Corporate family (same tax ID) 24
Practitioners 27
-
Thomas Logan Bauer, PA-C
-
Wendy Bowers, DNP
-
Reagan Critchfield, RDN
-
Jill Bateman Faatz, M.D.
-
Austin B Froerer, DO
-
Juan D Fuentes, M.D.
-
Ryan Hirschi, MD
-
Amanda Kuypers Hughes, FNP-C
-
Jason W Jorgensen, PA-C
-
Khanh Van Lai, M.D.
-
Cody Roger Larson, M.D.
-
Afton Leuga, APRN
-
Ty Dallas Mangum, PA
-
Debra Sue Martin, M.D.
-
Jeremy Meier, MD
-
Yonathan Melman, MD/PHD
-
Robert M. Miska, M.D.
-
Ronald M Mylott, NP
-
Ryan B Nielsen, MD
-
Molly A O'Gorman, MD
-
Michael Oldroyd, MD
-
Adon L Pearson, PA-C
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
- Tax ID family
- Bradley S Thompson DO
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | 2006HOSP213 | UT | Yes |
Addresses
Primary practice location
454 E Medical Way
Heber City, UT 84032-1391
Mailing address
PO Box 30180
Salt Lake City, UT 84130-0180
Other names
- Heber Valley Hospital Physicians
Other providers in Heber City, UT
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- Ihc Health Services Inc
- Impact Medical LLC
- Chaoyu Irvin
- Autumn M Iverson
All providers in Heber City, 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.