IHC HEALTH SERVICES INC (NPI# 1508973769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508973769 |
| Entity Type | Organization |
| Organization Name | IHC HEALTH SERVICES INC |
| Other Organization Name | IHC HEALTH CENTER PHARMACY BOUNTIFUL |
| Practice Address |
390 N Main St Bountiful UT 84010-6046 |
| Mailing Address |
Po Box 30013 Salt Lake City UT 84130-0013 |
| Practice Telephone | 8012941005 |
| Practice Fax Number | 8012941052 |
| Mailing Telephone | 8012941005 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | NANNETTE BERENSEN (VICE PRESIDENT OF CLINICAL SYSTEMS) |
| Authorized Official Telephone | 8012841005 |
| Is Organization Subpart | Y |
| Parent Organization Name | IHC HEALTH SERVICES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
3196251703 | UT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2100216 | 01 | |
| UT | 1508973769 | 05 |
| Other Name | Type Code |
|---|---|
| IHC HEALTH CENTER PHARMACY BOUNTIFUL | 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 |
390 N MAIN ST |
| City | BOUNTIFUL |
| State | UT |
| Zip Code | 84010-6046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528026978 | Jeffrey Lynn Henderson | Emergency Medicine | 390 N Main St, Bountiful, UT 84010-6046 | 2006-05-03 |
| 1407322779 | Mary E Mcmillan | Physician Assistant | 390 N Main St, Bountiful, UT 84010-6046 | 2018-10-15 |
| 1801242391 | Benjamin Brown | Family Medicine | 390 N Main St, Bountiful, UT 84010-6046 | 2016-05-13 |
| 1124400692 | Ashley Curtis | Family Medicine | 390 N Main St, Bountiful, UT 84010-6046 | 2015-06-22 |
| 1649659707 | Ihc Health Services Inc | Family Medicine | 390 N Main St, Bountiful, UT 84010-6046 | 2015-05-22 |
| 1790188829 | Hailey Poppe | Physician Assistant | 390 N Main St, Bountiful, UT 84010-6046 | 2014-10-03 |
| 1194158964 | Karin Marie Asplund Lammert | Pediatrics | 390 N Main St, Bountiful, UT 84010-6046 | 2013-08-15 |
| 1740522275 | Alex Benjamin Fox | Family Medicine | 390 N Main St, Bountiful, UT 84010-6046 | 2013-03-22 |
| 1891061594 | Jeffery M Sabey | Pediatrics | 390 N Main St, Bountiful, UT 84010 | 2012-03-27 |
| 1457646952 | Michael Charles Rognon | Pharmacist | 390 N Main St, Bountiful, UT 84010 | 2011-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
| 1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
| 1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
| 1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
| 1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
| 1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
| 1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
| 1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
| 1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
| 1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
| Find all providers in zip 84010 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598371973 | Mountain West Medicine Inc. | Pharmacy | 1551 Renaissance Towne Dr Ste 104, Bountiful, UT 84010-7682 | 2020-09-21 |
| 1992098271 | Ez Med LLC | Pharmacy | 450 S 400 E Ste 70, Bountiful, UT 84010-4938 | 2011-05-19 |
| 1083716310 | Dicks Family Pharmacy Inc | Pharmacy | 2280 So Orchard Dr, Bountiful, UT 84010-5614 | 2006-09-05 |
| 1174810014 | Value Med Rx, LLC | Pharmacy | 450 S 400 E, Bountiful, UT 84010-4938 | 2011-06-29 |
| 1972665396 | Mountain West Medicine, Inc. | Pharmacy | 1551 S Renaissance Towne Dr, Suite 104, Bountiful, UT 84010 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292167 | 3bc Incorporated | Pharmacy | 435 North Gateway Drive #802, Providence, UT 84332 | 2020-10-09 |
| 1518577741 | Black Panda LLC | Pharmacy | 2507 S State St, Salt Lake City, UT 84115-3109 | 2020-08-03 |
| 1235751900 | Roe Rx Inc | Pharmacy | 145 S 3000 W, West Point, UT 84015 | 2020-05-15 |
| 1023637675 | Santaquin Market, Inc. | Pharmacy | 110 N. 400 E., Santaquin, UT 84655 | 2020-04-14 |
| 1891345237 | Strive Pharmacy Utah 1 LLC | Pharmacy | 8928 S State St, Sandy, UT 84070-2246 | 2019-09-17 |
| 1336705755 | Bear Lake Community Health Center | Pharmacy | 517 W 100 N Ste 210, Providence, UT 84332-9826 | 2019-05-10 |
| 1912470246 | Ridley's Family Markets Inc | Pharmacy | 74 S 100 E, Tremonton, UT 84337-1606 | 2019-01-09 |
| 1437620762 | Pthl LLC | Pharmacy | 1890 Bonanza Dr Ste 107, Park City, UT 84060-7217 | 2018-12-16 |
| 1093285785 | Richfield Community Pharmacy LLC | Pharmacy | 440 S Main St Ste B, Richfield, UT 84701-2855 | 2018-11-26 |
| 1265908719 | Salt Lake City Pharmacy LLC | Pharmacy | 6826 S Highland Dr, Cottonwood Heights, UT 84121-3021 | 2018-10-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on IHC HEALTH SERVICES INC.
| 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.