IHC HEALTH SERVICES INC (NPI# 1396979159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396979159 |
| Entity Type | Organization |
| Organization Name | IHC HEALTH SERVICES INC |
| Other Organization Name | IMED UTAH HEART - JACKSON |
| Practice Address |
625 E Broadway Jackson WY 83001-0000 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8015073500 |
| Mailing Telephone | 8015073533 |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2009-05-08 |
| Authorized Official Name | KELLY J HOWARD (DIRECTOR) |
| Authorized Official Telephone | 8014421425 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| IMED Utah Heart - Jackson | 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 |
625 E BROADWAY |
| City | JACKSON |
| State | WY |
| Zip Code | 83001-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851350292 | David J Tomlinson | Anesthesiology | 625 E Broadway, Jackson, WY 83002 | 2006-03-23 |
| 1841596806 | A Francine Tryka Md PC | Clinical Medical Laboratory | 625 E Broadway, Jackson, WY 83001 | 2011-02-08 |
| 1801929997 | Teton County Hospital District | Medicare Defined Swing Bed Unit | 625 E Broadway, Jackson, WY 83001-0428 | 2007-03-14 |
| 1275689853 | Karen Maureen Blum | Registered Nurse | 625 E Broadway, Jackson, WY 83001 | 2007-01-26 |
| 1942352950 | Anna Francine Tryka | Pathology | 625 E Broadway, Jackson, WY 83001 | 2007-01-18 |
| 1578633988 | Western Wyoming Pathology, Inc | Clinical Medical Laboratory | 625 E Broadway, Jackson, WY 83001 | 2006-11-09 |
| 1154490233 | Teton Mri | Clinic/Center | 625 E Broadway, Jackson, WY 83001 | 2006-11-06 |
| 1003922360 | William R Smith | Emergency Medicine | 625 E Broadway, Jackson, WY 83001 | 2006-08-21 |
| 1821103268 | Marc F Domsky | Anesthesiology | 625 E Broadway, Jackson, WY 83001 | 2006-08-19 |
| 1669586632 | Jackson Hole Medical Imaging, PC | Radiology | 625 E Broadway, St Johns Medical Center-dept of Radiology, Jackson, WY 83001-9496 | 2006-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006108 | Anne Kathleen Milburn | Physical Therapist | 3620 S Park Drive, Jackson, WY 83001 | 2020-09-03 |
| 1568009637 | Katherine Pringle Ford | Case Manager/Care Coordinator | 2065 E. Limber Pine Road, Jackson, WY 83001 | 2019-12-07 |
| 1043878408 | Cossette Burnham | Physical Therapist | Four Pines Physical Therapy, 1090 S Hwy 89, Jackson, WY 83001 | 2019-05-31 |
| 1982169371 | Cynthia Buck Huyffer | Social Worker | 755a Cache Creek Drive, Jackson, WY 83001 | 2019-02-10 |
| 1093281594 | Lara Cilo | Speech-Language Pathologist | 1300 W. Valley Springs Road, Jackson, WY 83001 | 2018-10-23 |
| 1740776202 | Teton Oral and Maxillofacial Surgery | Dentist | 1160 Alpine Ln Ste 1d, Jackson, WY 83001 | 2018-07-09 |
| 1437642055 | Anna Yanchek | Physical Therapist | 1090 Us- 89, Jackson Hole, WY 83001 | 2018-06-08 |
| 1891200762 | Tyler Ross Wright | Chiropractor | 1325 Us-89, Suite 108, Jackson, WY 83001 | 2017-12-13 |
| 1073027280 | Root To Rise Counseling and Consulting, Pllc | Social Worker | 2033 Dandelion Court, Jackson, WY 83001 | 2017-11-27 |
| 1962923912 | Piper Worthington | Social Worker | 1910 High School Rd, Jackson, WY 83001 | 2017-06-29 |
| Find all providers in zip 83001 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1447661319 | Healthworks Med Group of Wyoming P C | Clinic/Center | 2723 Christensen Rd, Cheyenne, WY 82007-9662 | 2014-05-14 |
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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.