IHC HEALTH SERVICES INC (NPI# 1982711693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982711693 |
| Entity Type | Organization |
| Organization Name | IHC HEALTH SERVICES INC |
| Other Organization Name | LDS OUTPATIENT PHARMACY |
| Practice Address |
8th Ave and C St Salt Lake City UT 84143-0001 |
| Mailing Address |
Po Box 30013 Salt Lake City UT 84130-0013 |
| Practice Telephone | 8014081019 |
| Practice Fax Number | 8014085172 |
| Mailing Telephone | 8014081019 |
| Enumeration Date | 2006-08-25 |
| 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 | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
54201731703 | UT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1982711693 | 05 | |
| ID | 1982711693 | 05 | |
| UT | 1982711693 | 05 | |
| PK | 2107617 | 01 |
| Other Name | Type Code |
|---|---|
| LDS OUTPATIENT PHARMACY | 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 |
8TH AVE AND C ST |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84143-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356853188 | Benjamin Erik Bradford | Nurse Practitioner | 8th Ave and C St, Salt Lake City, UT 84143-0001 | 2017-11-02 |
| 1538562657 | Tyree Denece Romero | General Acute Care Hospital | 8th Ave and C St, Salt Lake City, UT 84143-3281 | 2014-10-02 |
| 1689740466 | Ramona Crebs | Pharmacist | 8th Ave and C St, Outpatient Pharmacy, Salt Lake City, UT 84143-0001 | 2006-11-25 |
| 1326127895 | Merin Marie Kinikini | Nurse Practitioner | 8th Ave and C St, Salt Lake City, UT 84143-0001 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053725572 | Robert Thomas Nuttall | Respiratory Therapist, Registered | 8th Ave. and C Street, Salt Lake City, UT 84143 | 2014-06-12 |
| 1346447331 | Intermountain Healthcare | General Acute Care Hospital | 8th Avenue and 'c' Street, Salt Lake City, UT 84143 | 2007-07-02 |
| 1629142898 | Robert L Mazzola | Internal Medicine | 8th & C Street, Intermountain Sleep Disorders Center - Lds Hospital, Salt Lake City, UT 84143 | 2006-11-20 |
| 1053407726 | Tom V Cloward | Internal Medicine | 400 D Street Ste 206, Salt Lake City, UT 84143 | 2006-10-04 |
| 1396838926 | Sharon Briggs Schneider | Pharmacist | 8th Ave and C Street, Salt Lake City, UT 84143 | 2006-10-02 |
| 1700818911 | Rebecca Bailey | Psychologist | 4n, 8th Ave C Street, Salt Lake City, UT 84143 | 2006-07-07 |
| 1851348924 | Gayle White | Nurse Practitioner | 8th Ave C Street, Lds Hospital Wound Care Service, Salt Lake City, UT 84143 | 2006-05-27 |
| 1669459301 | Steven Eugene Nickman | Physician Assistant | 8th Avenue & C Street, Lds Hospital E8/ibmt Program, Salt Lake City, UT 84143 | 2005-12-23 |
| 1912454448 | Todd J Seamons | Pharmacist | 8th Ave & C St, Outpatient Pharmacy, Salt Lake City, UT 84143 | 2016-09-01 |
| 1235568130 | Intermountain Healthcare | General Acute Care Hospital | 8th Avenue and C St, Lds Hospital, Salt Lake City, UT 84143 | 2013-11-01 |
| Find all providers in zip 84143 | ||||
| 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 |
|---|---|---|---|---|
| 1518577741 | Black Panda LLC | Pharmacy | 2507 S State St, Salt Lake City, UT 84115-3109 | 2020-08-03 |
| 1447760228 | Meds In Motion, LLC | Pharmacy | 1200 E 3900 S Ste 1h, Salt Lake City, UT 84124-1300 | 2017-10-05 |
| 1164945192 | Walgreen Co | Pharmacy | 220 S 7th E, Salt Lake City, UT 84102-2106 | 2017-07-21 |
| 1417400797 | Hrx Pharmacy LLC | Pharmacy | 4227 S Highland Dr, Suite 6, Salt Lake City, UT 84124-2645 | 2016-08-03 |
| 1790157261 | Global Medical Therapeutics Inc | Pharmacy | 1890 S 3850 W Ste 121-a, Salt Lake City, UT 84104 | 2015-10-23 |
| 1457783201 | Pharmacare, LLC | Pharmacy | 729 N Redwood Rd, Attn Super Value Pharmacy, Salt Lake City, UT 84116-1909 | 2013-08-04 |
| 1568703650 | Amphex Pharmacy, LLC | Pharmacy | 898 E 3300 S, Salt Lake City, UT 84106-1508 | 2013-03-14 |
| 1043543754 | Associated Fresh Markets Inc | Pharmacy | 1638 S 9th E, Salt Lake City, UT 84105-2366 | 2009-09-13 |
| 1326371584 | Maceys Inc | Pharmacy | 4530 S Highland Dr, Salt Lake City, UT 84117-4202 | 2009-09-04 |
| 1275705493 | Walgreen Co | Pharmacy | 4690 S Holladay Blvd, Salt Lake City, UT 84117-5243 | 2008-03-27 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84143 |
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.