Ihc Health Services Inc

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

IHC HEALTH SERVICES INC

Doing business as

Bear River ED Physicians

Practice address

905 N 1000 W
Tremonton, UT 84337-9356

Phone

(435) 207-4570

NPI assigned

Sep 21, 2021

Last updated

Sep 21, 2021By 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

Dr. Mark Briesacher, MD

Title

SVP-Chief Phy Executive

Phone

(801) 442-3495

Specialties & licenses 1

Addresses

Other names 1

• Bear River ED Physicians Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robbie Joe Carroll, FNP-BC

  • Nurse Practitioner
  • Logan, UT
  • NPI 1417349515
  NPD
• Kristen Cheney, PA C

  • Physician Assistant
  • Murray, UT
  • NPI 1558699975
  NPD
• Jesus Alonso Fierro, CPNP-AC

  • Nurse Practitioner
  • St George, UT
  • NPI 1649997487
  NPD
• Brian Larry Gashler, PA-C

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1144705583
  NPD
• Bret L. Lopez, PA-C

  • Physician Assistant
  • Provo, UT
  • NPI 1528578515
  NPD
• Steven Eugene Nickman, PA-C

  • Medical Physician Assistant
  • Logan, UT
  • NPI 1669459301
  NPD
• Elizabeth Anne Vogel

  • Physician Assistant
  • Salt Lake City, UT
  • NPI 1336737733
  NPD

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1992476865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128",
            "telephone_number": "435-207-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 N 1000 W",
            "city": "TREMONTON",
            "state": "UT",
            "postal_code": "843379356",
            "telephone_number": "435-207-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHC HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "BRIESACHER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "SVP-CHIEF PHY EXECUTIVE",
        "authorized_official_telephone_number": "801-442-3495",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bear River ED Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ihc Health Services Inc (Bear River Specialists)
• Ihc Health Services Inc (Bear River Hospitalists)
• Ihc Health Services Inc (Bear River Family Medicine)
• Ihc Health Services Inc (Bear River Valley Hospital Physicians)
• Ihc Health Services Inc (Intermountain Health Bear River Valley Hospital)
• Terri Denise Iman-Miles, LCSW
• Daniel Wayne Jeffrey, PA
• Byron Kent Jensen
• JM Gauruder LLC (Tremonton Chiropractic)
• David Vere Johnson, MD

• Emergency Medicine Physician in Tremonton, UT
• Providers in Tremonton, UT by specialty
• Emergency Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.