Ihc Health Services Inc
Organization Active NPI Multi-Specialty Clinic/Center · Delta, UT
NPI 1760429302 · NPPES record last updated Sep 14, 2023
Key facts
- NPI
- 1760429302
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- License
- 2005HOSP25384 (UT)
- Legal business name
- IHC HEALTH SERVICES INC
- Practice address
- 126 White Sage Ave
Delta, UT 84624-8937 - Phone
- (435) 864-5591
- Fax
- (435) 864-4186
- NPI assigned
- Jun 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Denis Smith
- Title
- Cfo
- Phone
- (801) 442-2000
Corporate family (same tax ID) 24
Practitioners 19
-
Jessica Davis, M.D.
-
James Fierbaugh, MD
-
Kelley Elizabeth Findlay, N.P.
-
Tycen Flygare, DPT
-
Roy C Hammond, MD
-
Richard Lewis Leake, M.D.
-
Matthew Ryan Nelson, APRN
-
Ethan S. Rosenfeld, M.D.
-
Breeanne Rowland, FNP
-
Anna M Siciliano, M.A, C.C.C., S.L.P.
-
Jared West, D.O.
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
Locations
5295 S Commerce Dr
Ste 550
Salt Lake City, UT 84107
Phone (801) 313-4110
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | |||
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | |||
| Cardiovascular Disease Physician |
207RC0000X | |||
| Ophthalmology Physician |
207W00000X | |||
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician |
2083P0011X | |||
| Urology Physician |
208800000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | 2005HOSP25384 | UT | Yes |
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X | |||
| Certified Registered Nurse Anesthetist |
367500000X |
Addresses
Primary practice location
126 White Sage Ave
Delta, UT 84624-8937
Mailing address
PO Box 30180
Salt Lake City, UT 84130-0180
Phone (801) 442-8468
Other names
- Delta Community Hospital Physicians
Other providers in Delta, UT
- Ellsworth Foot and Ankle
- Nicholas Finlinson
- Sierra Lorraine George
- Rendon Jess Hughes
- Ihc Health Services Inc
- Ihc Health Services, Inc
- Ihc Health Services, Inc.
- Jamie Ipson
- Mylisa Jacobson
- Robert Preston Keel
All providers in Delta, 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 Sep 14, 2023. 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.