Ihc Health Services Inc
Organization Active NPI Emergency Medicine Physician · Tremonton, UT
NPI 1992476865 · NPPES record last updated Sep 21, 2021
Key facts
- NPI
- 1992476865
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- IHC HEALTH SERVICES INC
- Practice address
- 905 N 1000 W
Tremonton, UT 84337-9356 - Phone
- (435) 207-4570
- NPI assigned
- Sep 21, 2021
- Organization subpart
- No
Authorized official
- Name
- Dr. Mark Briesacher, MD
- Title
- SVP-Chief Phy Executive
- Phone
- (801) 442-3495
Practitioners 7
-
Robbie Joe Carroll, FNP-BC
-
Kristen Cheney, PA C
-
Jesus Alonso Fierro, CPNP-AC
-
Brian Larry Gashler, PA-C
-
Bret L. Lopez, PA-C
-
Steven Eugene Nickman, 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
905 N 1000 W
Tremonton, UT 84337-9356
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (435) 207-4570
Other names
- Bear River ED Physicians
Other providers in Tremonton, UT
- Ihc Health Services Inc
- Ihc Health Services Inc
- Ihc Health Services Inc
- Ihc Health Services Inc
- Ihc Health Services Inc
- Terri Denise Iman-Miles
- Daniel Wayne Jeffrey
- Byron Kent Jensen
- JM Gauruder LLC
- David Vere Johnson
All providers in Tremonton, UT · Emergency 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 Sep 21, 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.