IHC HEALTH SERVICES INC (NPI# 1063536381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063536381 |
| Entity Type | Organization |
| Organization Name | IHC HEALTH SERVICES INC |
| Other Organization Name | PRIMARY CHILDREN'S HOSPITAL CHILD PSYCHOLOGY & PSYCHIATRY |
| Practice Address |
5770 S 1500 W Taylorsville UT 84123-5216 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8013137770 |
| Mailing Telephone | 8014421400 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2019-07-19 |
| Authorized Official Name | SETH GLICKMAN (INTERMOUNTAIN MED GROUP PRESIDENT) |
| Authorized Official Telephone | 8014425722 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Primary Children's Hospital Child Psychology & Psychiatry | Doing Business As Name - Organization |
| Wasatch Canyons Centers for Counseling | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942828520 | Ihc Health Services Inc | Psychologist | 5373 S Green St Ste 400, Murray, UT 84123-4740 | 2020-07-09 |
| 1194343095 | Ihc Health Services Inc | Internal Medicine | 5217 S State St Ste 250, Murray, UT 84107-4943 | 2020-07-08 |
| 1639797509 | Ihc Health Services Inc | Internal Medicine | 4387 Harrison Blvd Ste C1, Ogden, UT 84403-3148 | 2020-07-08 |
| 1124661384 | Ihc Health Services Inc | General Acute Care Hospital | 765 E Marketplace Dr, Spanish Fork, UT 84660 | 2019-10-21 |
| 1881166361 | Ihc Health Services Inc | Clinic/Center | 201 W Layton Pkwy Ste 1a, Layton, UT 84041-3692 | 2018-12-21 |
| 1235626698 | Ihc Health Services Inc | Clinic/Center | 1485 S Highway 40 Ste G, Heber City, UT 84032-3522 | 2018-04-20 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1770099251 | Ihc Health Services Inc | Dermatology | 395 W Bulldog Blvd Ste 604, Provo, UT 84604-3331 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| Street Address |
5770 S 1500 W |
| City | TAYLORSVILLE |
| State | UT |
| Zip Code | 84123-5216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447238456 | Daniel Aaron Ontiveros | Social Worker | 5770 S 1500 W, Taylorsville, UT 84123-5216 | 2006-01-09 |
| 1629675376 | Amanda Diane Griffiths | Social Worker | 5770 S 1500 W, Taylorsville, UT 84123-5216 | 2020-10-06 |
| 1740800085 | Nicole Hansen | Social Worker | 5770 S 1500 W, Taylorsville, UT 84123-5216 | 2020-04-16 |
| 1407396518 | Trina Rae Stephens | Counselor | 5770 S 1500 W, Taylorsville, UT 84123-5216 | 2017-03-08 |
| 1255713582 | Eva Tukuafu | Social Worker | 5770 S 1500 W, Taylorsville, UT 84123-5216 | 2015-06-23 |
| 1831594290 | Yvonne Bouwman | Social Worker | 5770 S 1500 W, Bldg C, Taylorsville, UT 84123-5216 | 2014-10-28 |
| 1316366487 | Andrew Layne | Social Worker | 5770 S 1500 W, Taylorsville, UT 84123-5216 | 2014-04-15 |
| 1174949051 | Heidi Marie Block | Psychologist | 5770 S 1500 W, Taylorsville, UT 84123-5216 | 2014-03-15 |
| 1336488428 | Charles Wayne Trice Jr. | Social Worker | 5770 S 1500 W, C, Taylorsville, UT 84123-5216 | 2013-02-08 |
| 1336484740 | Jeffrey D Riekhof | Social Worker | 5770 S 1500 W, Taylorsville, UT 84123-5216 | 2012-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186837 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5792 South Redwood Road, Taylorsville, UT 84123 | 2020-08-27 |
| 1164040614 | Mark E Hutchinson | Counselor | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
| 1396259321 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4082 South Redwood Road, West Valley Road, UT 84123 | 2017-11-29 |
| 1083131890 | Kelli Mcstotts | Counselor | 5689 S. Redwood Road, Taylorsville, UT 84123 | 2017-08-23 |
| 1740706571 | Laura B Ellsworth | Case Manager/Care Coordinator | 5667 So. Redwood Road, 6b, Salt Lake City, UT 84123 | 2017-08-14 |
| 1790214120 | Integrated Autism Therapies | Behavioral Analyst | 5984 S. Susquehanna, Murray, UT 84123 | 2017-06-08 |
| 1083163885 | Michael John Flint | Counselor | 5861 South Redwood Road, #24, Taylorsville, UT 84123 | 2016-09-22 |
| 1548716236 | Andres Ramos | Licensed Psychiatric Technician | 697 West 4170 South, Murray, UT 84123 | 2016-09-01 |
| 1467807040 | Sheryl R Schindler | Counselor | 5770 South 1550 West, Bldg G, Primary Children's Counseling Center, Taylorsville, UT 84123 | 2016-05-02 |
| 1730562141 | Megan Merica Snarr | Dentist | 597 West 5300 South, Murray, UT 84123 | 2015-07-02 |
| Find all providers in zip 84123 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851939250 | Imagine Counseling Services | Clinic/Center | 5663 S Redwood Rd Unit 2, Taylorsville, UT 84123-5449 | 2019-12-16 |
| 1932738028 | Mind and Body Integration | Clinic/Center | 1972 W 5400 S, Taylorsville, UT 84129-1459 | 2020-04-02 |
| 1366860777 | Ariel Gonzales Psychiatric Np, Pllc | Clinic/Center | 5691 S Redwood Rd, Bldg 16, Ste 1b, Taylorsville, UT 84123-5420 | 2014-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043810047 | Ora Counseling | Clinic/Center | 115 Golf Course Rd Ste A, Logan, UT 84321-5951 | 2020-10-28 |
| 1033744776 | Rising Summits | Clinic/Center | 11293 S Morning Tide Ln, South Jordan, UT 84009-5022 | 2020-03-03 |
| 1447899570 | First Choice Healing LLC | Clinic/Center | 1045 S Orem Blvd, Orem, UT 84058-6979 | 2020-01-06 |
| 1144868100 | Vive Care, LLC | Clinic/Center | 120 W 1470 S Ste A, Saint George, UT 84770-6798 | 2019-12-20 |
| 1811548589 | Insaneability | Clinic/Center | 2013 E Fielding Hill Ln, Draper, UT 84020-2505 | 2019-09-24 |
| 1083264907 | Hobble Creek Behavoral Health | Clinic/Center | 1291 Expressway Ln # L, Spanish Fork, UT 84660-1333 | 2019-09-12 |
| 1407403983 | Haven Recovery LLC | Clinic/Center | 1474 W 2100 N, Pleasant Grove, UT 84062-9508 | 2019-08-20 |
| 1386299287 | Intermountain Counseling Center | Clinic/Center | 35 N Main Street, Suite 200 B, Spring City, UT 84662 | 2019-08-07 |
| 1710532619 | Solstone, LLC | Clinic/Center | 1353 N 1075 W Ste 204, Farmington, UT 84025-2772 | 2019-08-07 |
| 1275091407 | Taylor and Taylor Consulting | Clinic/Center | 459 N 300 W Ste 13, Kaysville, UT 84037-4204 | 2019-03-06 |
| Find all providers with the same taxonomy | ||||
| City | TAYLORSVILLE |
| Zip Code | 84123 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.