Ihc Health Services Inc
Organization Active NPI Otolaryngology Physician · Layton, UT
NPI 1780105387 · NPPES record last updated Jul 5, 2017
Key facts
- NPI
- 1780105387
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Otolaryngology Physician 207Y00000X
- Legal business name
- IHC HEALTH SERVICES INC
- Practice address
- 201 W Layton Parkway
Layton, UT 84041 - Phone
- (801) 442-1853
- NPI assigned
- Jul 5, 2017
- Organization subpart
- No
Authorized official
- Name
- Dr. Mark Briesacher, MD
- Title
- Chief Phys Exec and Pres Med Group
- Phone
- (801) 442-1853
Corporate family (same tax ID) 24
Practitioners 9
-
Mark Kenneth Bennett, PA-C
-
Brent J Bowen, M.D.
-
Richard Andrew Dal Canto, M.D.
-
Pegah Christine Dixon, A.P.R.N., W.H.N.P.
-
Michael A. Pope, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
4403 Harrison Blvd
Ste 2645
Ogden, UT 84403
Phone (801) 387-2880
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician |
207Y00000X | Yes |
Addresses
Primary practice location
201 W Layton Parkway
Layton, UT 84041
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 442-1853
Other names
- Layton Parkway ENT
Other providers in Layton, 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 Layton, UT · Otolaryngology Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2017. 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.