Ihc Health Services Inc
Organization Active NPI Internal Medicine Physician · Murray, UT
NPI 1811329154 · NPPES record last updated Jan 14, 2021
Key facts
- NPI
- 1811329154
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 6072013 (UT)
- Legal business name
- IHC HEALTH SERVICES INC
- Practice address
- 181 E Medical Tower Dr
Murray, UT 84107-4872 - Phone
- (801) 507-9090
- NPI assigned
- Aug 8, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. Mark Briesacher, MD
- Title
- SVP - Chief Phy Executive
- Phone
- (801) 442-3495
Corporate family (same tax ID) 24
Practitioners 9
-
Annalie Brennan, NP-C
-
David Buhler, PA-C
-
Kyle J Christensen, PA-C
-
Sarah Holt, NP
-
Justin L. Mellott, D.O.
-
Cristina L Mogos, MD
-
Craig Pulley, PA-C
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 6072013 | UT | Yes |
Addresses
Primary practice location
181 E Medical Tower Dr
Murray, UT 84107-4872
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 507-9090
Other names
- Intermountain Employee Clinic
Other providers in Murray, 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 Murray, UT · Internal Medicine 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 Jan 14, 2021. 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.