Ihc Health Services Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

IHC HEALTH SERVICES INC

Doing business as

Intermountain Health Home Medical Equipment Bountiful

Practice address

1440 S 500 W
Woods Cross, UT 84010-8143

Phone

(801) 294-0636

NPI assigned

Sep 1, 2010

Last updated

Jan 29, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark Provan

Title

VP-Homecare Hospice Palliative Care

Phone

(801) 442-2000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Intermountain Health Home Medical Equipment Bountiful Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Mark Wesselman MD485 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Ihc Health Services Inc

  dba Intermountain Health Home Medical Equipment Salt Lake Clinic

  • Durable Medical Equipment & Medical Supplies
  • Salt Lake City, UT
  • NPI 1851715049
  NPD tax ID
• Ihc Health Services Inc

  dba Utah Valley Senior Medicine

  • Geriatric Medicine (Internal Medicine) Physician
  • Provo, UT
  • NPI 1851807333
  NPD tax ID
• Ihc Health Services Inc

  dba West Jordan KidsCare

  • Pediatrics Physician
  • West Jordan, UT
  • NPI 1861527780
  NPD tax ID
• Ihc Health Services Inc

  dba Intermountain Snow College Clinic

  • Sports Medicine (Family Medicine) Physician
  • Ephraim, UT
  • NPI 1861696411
  NPD tax ID
• Ihc Health Services Inc

  dba Southridge Clinic OB-Gyn

  • Obstetrics & Gynecology Physician
  • Riverton, UT
  • NPI 1871734426
  NPD tax ID
• Ihc Health Services Inc

  • Family Medicine Physician
  • South Jordan, UT
  • NPI 1871990309
  NPD tax ID
• Ihc Health Services Inc

  dba WorkMed Murray

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Murray, UT
  • NPI 1881729085
  NPD tax ID
• Ihc Health Services Inc

  dba Orem WorkMed - IMFT

  • Occupational Medicine Physician
  • Lehi, UT
  • NPI 1881913788
  NPD tax ID
• Ihc Health Services Inc

  dba Park City Allergy Clinic

  • Allergy & Immunology Physician
  • Park City, UT
  • NPI 1881953537
  NPD tax ID
• Ihc Health Services Inc

  dba Dixie Neonatology

  • Neonatal-Perinatal Medicine Physician
  • St George, UT
  • NPI 1891098679
  NPD tax ID
• Ihc Health Services Inc

  dba Alta View Center for Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Midvale, UT
  • NPI 1891810867
  NPD tax ID
• Ihc Health Services Inc

  dba Intermountain North Orem Pharmacy

  • Clinic Pharmacy
  • Orem, UT
  • NPI 1902074792
  NPD tax ID

All facility ownership & control disclosures 44

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1902113715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11520 S REDWOOD RD",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840957805",
            "telephone_number": "385-887-6000",
            "fax_number": "801-442-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 S 500 W",
            "city": "WOODS CROSS",
            "state": "UT",
            "postal_code": "840108143",
            "telephone_number": "801-294-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHC HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-01",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "PROVAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "VP-HOMECARE HOSPICE PALLIATIVE CARE",
        "authorized_official_telephone_number": "801-442-2000"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902113715",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intermountain Health Home Medical Equipment Bountiful",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Hales, LMT, MMP
• Grace E Hansen, MSW-TRAINEE/STUDENT
• Healing Hive
• Healing Hive
• Holding Space Counseling PLLC
• Independence Home Care, LLC (Independence Home Health)
• Interpath, P.C.
• Ryan Larry Jeffs, MS LMFT
• Jenna Shirley Counseling
• Gregory Wallace Johnson, RT

• Durable Medical Equipment & Medical Supplies in Woods Cross, UT
• Providers in Woods Cross, UT by specialty
• Durable Medical Equipment & Medical Supplies in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.