IHC HEALTH SERVICES, INC. (NPI# 1134274947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134274947 |
| Entity Type | Organization |
| Organization Name | IHC HEALTH SERVICES, INC. |
| Other Organization Name | TOOELE VALLEY DIALYSIS |
| Practice Address |
196 West 2000 North Suite 112 Tooele UT 84074-2736 |
| Mailing Address |
4646 Lake Park Blvd Salt Lake City UT 84120-8212 |
| Practice Telephone | 8014081430 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2016-02-25 |
| Authorized Official Name | DAVE LARSEN (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8014081883 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
2005-ESRD-0608 | UT | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Tooele Valley Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164647707 | Ihc Health Services, Inc. | Clinic/Center | 359 8th Ave, Salt Lake City, UT 84103-2895 | 2007-04-17 |
| 1083768071 | Ihc Health Services, Inc. | Clinic/Center | 74 W Vine Street, Murray, UT 84107 | 2007-01-23 |
| 1265549984 | Ihc Health Services, Inc. | Pharmacy | 98 N 1100 E Ste 101, American Fork, UT 84003-2940 | 2006-08-25 |
| 1326155037 | Ihc Health Services, Inc. | Pharmacy | 395 W 1230 N Ste 204, Provo, UT 84604-3328 | 2006-08-25 |
| 1699795831 | Ihc Health Services, Inc. | Clinic/Center | 325 8th Ave, Salt Lake City, UT 84143-0001 | 2006-07-20 |
| 1174540058 | Ihc Health Services, Inc. | Clinic/Center | 1685 W 2200 S, Salt Lake City, UT 84119-1456 | 2006-07-16 |
| 1174540090 | Ihc Health Services, Inc. | Clinic/Center | 3903 Harrison Blvd, Ogden, UT 84403-2314 | 2006-07-16 |
| 1720029960 | Ihc Health Services, Inc. | Clinical Medical Laboratory | 5252 South, Intermountain Drive, Murray, UT 84107 | 2006-06-09 |
| 1609110816 | Ihc Health Services, Inc. | Pharmacy | 1000 N Main St, Richfield, UT 84701-1857 | 2012-11-15 |
| 1538355284 | Ihc Health Services, Inc. | Clinic/Center | 1820 Sidewinder Dr, Park City, UT 84060-7492 | 2007-09-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | IHC HEALTH SERVICES, INC. | 36 S State 22nd Floor, Salt Lake City, UT 84111 |
| Vermont Business Registrations | IHC HEALTH SERVICES, INC. | 36 South State Street, 22nd Floor, Salt Lake City, UT 84111 |
| Washington State Corporations | IHC HEALTH SERVICES, INC. | 36 South State Street, 22nd Floor, Salt Lake City, UT 84111 |
| Street Address |
196 WEST 2000 NORTH SUITE 112 |
| City | TOOELE |
| State | UT |
| Zip Code | 84074-2736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689233397 | Leah Elizabeth Harper I | Behavior Technician | 39 Millpond Stansbury Park, Tooele, UT 84074 | 2019-06-07 |
| 1245710789 | Tanna Marie Shelley | Community Health Worker | 27 So Main St, Tooele, UT 84074 | 2018-08-15 |
| 1528548062 | Barbara T Cederlof | Community Health Worker | 27 South Main St., Tooele, UT 84074 | 2018-08-15 |
| 1235615600 | Ashley Christine Wilson | Case Manager/Care Coordinator | 27 South Main, Tooele, UT 84074 | 2018-07-18 |
| 1174016976 | Makenzie Green | Case Manager/Care Coordinator | 27 S Main, Tooele, UT 84074 | 2018-06-07 |
| 1386151835 | Monica Lee | Physical Therapist | 6727 Ut-36 #300, Stansbury Park, UT 84074 | 2018-01-05 |
| 1871976183 | Pagnani Physical Therapy | Physical Therapist | 6727 North State Hwy 36, Suite 300, Stansbury Park, UT 84074 | 2015-07-06 |
| 1407248222 | Pebble Creek Counseling Center | Counselor | 494 E 2400 N Ste B, Tooele, UT 84074 | 2015-03-03 |
| 1528496221 | Emily Carlson | Case Manager/Care Coordinator | 220 North Millpond Rd, Suite 100, Stansbury Park, UT 84074 | 2013-10-16 |
| 1710327218 | Angela Michelle Demoss | Nurse Practitioner | 682 Country Club, Stansbury Park, UT 84074 | 2013-06-28 |
| Find all providers in zip 84074 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174833057 | Tooele Mobile Dialysis LLC | Clinic/Center | 1298 E 850 N, Tooele, UT 84074-8914 | 2010-10-13 |
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|---|---|---|---|---|
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| 1053956391 | Hegan Dialysis, LLC | Clinic/Center | 490 S State St, Orem, UT 84058-6302 | 2019-11-11 |
| 1811554124 | Pomme Dialysis, LLC | Clinic/Center | 1250 W Sandalwood Dr, Lehi, UT 84043-4615 | 2019-05-22 |
| 1992223556 | Wakonda Dialysis LLC | Clinic/Center | 555 W State Road 164 Ste 101, Salem, UT 84653-5732 | 2017-09-05 |
| 1831627223 | Fresenius Medical Care Provo, LLC | Clinic/Center | 135 South Orem Blvd, Ste 101, Orem, UT 84058-3006 | 2017-05-30 |
| 1407394463 | Fresenius Medical Care Pleasant View, LLC | Clinic/Center | 1735 West 2700 North, Farr West, UT 84404-1208 | 2017-02-09 |
| 1356897961 | Fresenius Medical Care Utah, LLC | Clinic/Center | 4101 W Pioneer Pkwy, Suite 101, West Valley City, UT 84120-2050 | 2016-09-01 |
| 1770951030 | Liberty Dialysis-weber County, LLC | Clinic/Center | 475 East 40th St, Suite 110, South Ogden, UT 84403-1852 | 2015-09-03 |
| 1558746727 | Fresenius Medical Care Riverton, LLC | Clinic/Center | 12523 South Meadow Creek Drive, Riverton, UT 84065-7259 | 2015-07-29 |
| 1093199135 | Fresenius Medical Care Cedar City, LLC | Clinic/Center | 1320 North Main Street, Cedar City, UT 84721 | 2015-07-18 |
| Find all providers with the same taxonomy | ||||
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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.