Ihc Health Services Inc
Organization Active NPI Multi-Specialty Clinic/Center · Salt Lake City, UT
NPI 1831214253 · NPPES record last updated May 19, 2026
Key facts
- NPI
- 1831214253
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- IHC HEALTH SERVICES INC
- Practice address
- 81 N Mario Capecchi Dr
Salt Lake City, UT 84113-1125 - Phone
- (801) 662-1000
- NPI assigned
- Mar 21, 2007
- Organization subpart
- No
Authorized official
- Name
- Robert Allen
- Title
- Ceo
- Phone
- (801) 442-2000
Corporate family (same tax ID) 24
Practitioners 19
-
Robert Chad Bannon, PA-C
-
Ashley Boyer, PA-C
-
Rebecca A Cable, NP
-
Fabiola Cano, NURSE PRACTITIONER
-
William R Duehlmeier, APRN
-
Rebecca Davis Edwards, APRN STUDENT
-
Jenessa Wilson Griffin, PA-C
-
Robert Jeffrey Lee, M.D.
-
Brooke Mastroianni, M.D.
-
Lindsey Gray Mortensen, FNP-C
-
Daniel Aaron Ontiveros, L.C.S.W.
-
Nikolette G Pazell, APRN
-
Bill Quach, MD
-
Paul Jacob Sharp, APRN
-
John D Skaggs, M.D.
-
Lynette Mardel Brown, M.D., PH.D.
-
Michelle Yang, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled 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 |
National Provider Directory
- Tax ID family
- Bradley S Thompson DO
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist |
103G00000X | |||
| Psychologist |
103T00000X | |||
| Pediatrics Physician |
208000000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
81 N Mario Capecchi Dr
Salt Lake City, UT 84113-1125
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Other practice location 1
100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Phone (801) 662-1000
Other names
- PCH EEG
- PCH Neuropsychology
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark LLC / Office Ally |
Other providers in Salt Lake City, 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 Salt Lake 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 May 19, 2026. 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.