Active NPI
Ihc Health Services Inc
- Clinical Medical Laboratory
- St George, UT
National Provider Identifier
1730798372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- IHC HEALTH SERVICES INC
- Practice address
- 600 S Medical Center Dr
St George, UT 84790-8723 - Phone
- (435) 251-5780
- NPI assigned
- Jul 29, 2020
- 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
- Gary Stone
- Title
- Exec Op Dir System Precision Health
- Phone
- (435) 251-5780
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
600 S Medical Center Dr
St George, UT 84790-8723
Mailing address
PO Box 30180
Salt Lake City, UT 84130-0180
Phone (435) 251-5780
Other names 1
- Intermountain Precision Genomics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040119000317 | UT | Part B Supplier - Independent Clinical Laboratory | 1850209420 |
4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Murray, UT; Salt Lake City, UT |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Clinical Medical Laboratory
- Salt Lake City, UT
- NPI 1215109665
O20040119000317
-
- Internal Medicine Physician
- Salt Lake City, UT
- NPI 1225163702
O20040119000317
-
- Clinical Medical Laboratory
- Salt Lake City, UT
- NPI 1457481939
O20040119000317
National Provider Directory
National Provider DirectoryLocations
600 S Medical Center Dr
St George, UT 84790
Phone (435) 251-4900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595980800000",
"number": "1730798372",
"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",
"telephone_number": "435-251-5780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 S MEDICAL CENTER DR",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847908723",
"telephone_number": "435-251-5780"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IHC HEALTH SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-29",
"last_updated": "2020-07-29",
"certification_date": "2020-07-29",
"status": "A",
"authorized_official_last_name": "STONE",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "EXEC OP DIR SYSTEM PRECISION HEALTH",
"authorized_official_telephone_number": "435-251-5780"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Intermountain Precision Genomics",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.