IHC HEALTH SERVICES INC (NPI# 1740414689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740414689 |
| Entity Type | Organization |
| Organization Name | IHC HEALTH SERVICES INC |
| Other Organization Name | IMED HEART - GREEN RIVER |
| Practice Address |
1400 Uinta Dr Green River WY 82935-5060 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8015073500 |
| Mailing Telephone | 8015073500 |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2009-05-06 |
| 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 Heart - Green River | 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 |
1400 UINTA DR |
| City | GREEN RIVER |
| State | WY |
| Zip Code | 82935-5060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306892047 | Kristine F Sherwin | Physician Assistant | 1400 Uinta Dr, Green River, WY 82935-5046 | 2006-05-25 |
| 1881242816 | Julianne E Forrester | Registered Nurse | 1400 Uinta Dr, Green River, WY 82935-5060 | 2019-09-03 |
| 1023356326 | Gerry C Smith | Occupational Therapist | 1400 Uinta Dr, Green River, WY 82935-5060 | 2013-01-21 |
| 1215285366 | Joel Robertson | Physician Assistant | 1400 Uinta Dr, Green River, WY 82935-5060 | 2012-08-21 |
| 1821393158 | Sara R Thompson | Physical Therapist | 1400 Uinta Dr, Green River, WY 82935-5060 | 2011-01-18 |
| 1265760714 | Castle Rock Physical Therapy | Physical Therapist | 1400 Uinta Dr, Green River, WY 82935-5060 | 2009-11-20 |
| 1225271885 | Connie Aileen Fauntleroy | Pediatrics | 1400 Uinta Dr, Green River, WY 82935-5060 | 2009-04-13 |
| 1215102132 | Christa J Vandervort | Speech-Language Pathologist | 1400 Uinta Dr, Green River, WY 82935-5060 | 2008-04-23 |
| 1013057173 | Castle Rock Special Hospital District | Preventive Medicine | 1400 Uinta Dr, Green River, WY 82935-5046 | 2007-02-07 |
| 1952457996 | Castle Rock Special Hospital District | Clinic/Center | 1400 Uinta Dr, Green River, WY 82935-5060 | 2007-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306376975 | Nicholas Henry Hastert | Physical Therapist | 330 Upland Way, Green River, WY 82935 | 2017-06-15 |
| 1174982045 | Marti Jo Sidwell | Case Management | 400 N 100 E, Suite 205, Green River, WY 82935 | 2016-02-19 |
| 1649428012 | Dana Kreusel | Physical Therapist | 520 Wilkes Dr Ste 17, Green River, WY 82935 | 2008-08-28 |
| 1902095375 | Peak Performance Sports Medicine Inc | Physical Therapist | 140 Commerce Drive, Green River, WY 82935 | 2007-10-22 |
| 1518159854 | Gordon Lee Balka | Preventive Medicine | General Chemical, 324 Allied Chemical Rd, Green River, WY 82935 | 2007-08-10 |
| 1720157316 | Daryl A Parker | Dentist | 190 E Flaming Gorge Way, Green River, WY 82935 | 2006-11-07 |
| 1891883203 | Darrin Lee Goyn | Physical Therapist | 541a East Flaming Gorge Way, Green River, WY 82935 | 2006-10-11 |
| 1740258466 | Michael Earl Nelson | Physical Therapist | 920 Upland Way, Green River, WY 82935 | 2006-03-09 |
| 1679702518 | Michael Ross Svejcar | Physical Therapist | 140 Commerce Drive, Green River, WY 82935 | 2009-07-14 |
| 1427215912 | Bryant Paul Birch | Dentist | 661 Uinta Dr, Green River, WY 82935 | 2008-05-21 |
| Find all providers in zip 82935 | ||||
| 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 |
| Find all providers with the same taxonomy | ||||
| City | GREEN RIVER |
| Zip Code | 82935 |
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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.