IHC HEALTH SERVICES INC (NPI# 1669099735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669099735 |
| Entity Type | Organization |
| Organization Name | IHC HEALTH SERVICES INC |
| Practice Address |
395 W Bulldog Blvd Provo UT 84604-3311 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8013577081 |
| Mailing Telephone | 8013577081 |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-07-06 |
| Authorized Official Name | DR. MARK BRIESACHER (SVP-CHIEF PHY EXECUTIVE) |
| Authorized Official Telephone | 8014423495 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Heart Institute - Utah Valley | 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 |
395 W BULLDOG BLVD |
| City | PROVO |
| State | UT |
| Zip Code | 84604-3311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225297419 | Mindy Crockett | Dietitian, Registered | 395 W Bulldog Blvd, Provo, UT 84604-3311 | 2008-06-03 |
| 1821610593 | Harmony A Hatch | Registered Nurse | 395 W Bulldog Blvd, Provo, UT 84604-3311 | 2020-05-15 |
| 1427515170 | Ihc Health Services Inc | Preventive Medicine | 395 W Bulldog Blvd, Provo, UT 84604-3311 | 2019-02-28 |
| 1588150304 | Christopher Bickmore Parson | Nurse Practitioner | 395 W Bulldog Blvd, Provo, UT 84604-3311 | 2018-07-04 |
| 1669859054 | Kenneth Scott Griffin | Psychiatry & Neurology | 395 W Bulldog Blvd, Provo, UT 84604-3311 | 2015-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013200997 | Daniel N. Bennett | Internal Medicine | 1055 N 500 W, Ste 101, Building C, Provo, UT 84604 | 2011-05-25 |
| 1952558116 | Charles Robinson Mitchell | Internal Medicine | 1055 N 500 W, Suite 101, Provo, UT 84604-3305 | 2008-08-19 |
| 1649491440 | David C Wang | Internal Medicine | 1055 N 500 W, Suite 101, Provo, UT 84604-3305 | 2007-05-01 |
| 1821005349 | David T Cragun | Internal Medicine | 1055 N 500 W Ste 101, Provo, UT 84604-3305 | 2006-08-01 |
| 1235197674 | John K Frischknecht | Internal Medicine | 1055 N 500 W, Suite 101, Provo, UT 84604-3305 | 2006-05-03 |
| 1144288580 | Douglas R Smith | Internal Medicine | 1055 N 500 W, Suite 101, Provo, UT 84604-3305 | 2006-05-03 |
| 1912965344 | Charles F Dahl | Internal Medicine | 1055 N 500 W, Suite 101, Provo, UT 84604-3305 | 2006-05-03 |
| 1649238080 | Chun Hwang | Internal Medicine | 1055 N 500 W, Suite 101, Provo, UT 84604-3305 | 2006-05-03 |
| 1487612214 | Scott E Bingham | Internal Medicine | 1055 N 500 W Ste 101, Provo, UT 84604-3305 | 2006-05-02 |
| 1831154566 | Marvin R Allen | Internal Medicine | 1055 N 500 W, Suite 101, Provo, UT 84604-3305 | 2006-04-18 |
| Find all providers in PROVO | ||||
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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.