IHC HEALTH SERVICES INC. (NPI# 1083624738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083624738 |
| Entity Type | Organization |
| Organization Name | IHC HEALTH SERVICES INC. |
| Other Organization Name | PRIMARY CHILDRENS HOSPITAL PHYSICIANS GROUP |
| Practice Address |
100 Mario Capecchi Dr Salt Lake City UT 84113-1103 |
| Mailing Address |
4646 Lake Park Blvd Salt Lake City UT 84120-8212 |
| Practice Telephone | 8016621000 |
| Mailing Fax Number | 8014420066 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2016-02-25 |
| Authorized Official Name | MS. KATHERINE A WELKIE (CEO) |
| Authorized Official Telephone | 8016621000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
HOSP-439 | UT | Ambulatory Health Care Facilities |
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
HOSP-439 | UT | Ambulatory Health Care Facilities |
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
2006-HOSP-439 | UT | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Primary Childrens Hospital Physicians Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255465142 | Ihc Health Services Inc. | Emergency Medicine | 3925 Snowbasin Rd, Huntsville, UT 84317 | 2007-03-15 |
| 1679582944 | Ihc Health Services Inc. | Medicare Defined Swing Bed Unit | 905 North 1000 West, Tremonton, UT 84337-9356 | 2006-08-05 |
| 1952631772 | Ihc Health Services Inc. | Clinic/Center | 333 S 900 E, Salt Lake City, UT 84102-2310 | 2009-12-29 |
| 1396073276 | Ihc Health Services Inc. | Clinic/Center | 440 D St, Ste 206, Salt Lake City, UT 84103-2817 | 2009-12-03 |
| 1841528726 | Ihc Health Services Inc. | Clinic/Center | 440 D St, Ste 202, Salt Lake City, UT 84103-2817 | 2009-12-03 |
| 1073848966 | Ihc Health Services Inc. | Clinic/Center | 4403 Harrison Blvd, Ste 2400, Ogden, UT 84403-3271 | 2009-10-09 |
| 1609101591 | Ihc Health Services Inc. | Clinic/Center | 4403 Harrison Blvd, Ste 2440, Ogden, UT 84403-3271 | 2009-10-09 |
| 1558495309 | Ihc Health Services Inc. | Clinic/Center | 3215 Valley St, Salt Lake City, UT 84109-4217 | 2007-03-15 |
| 1528078581 | Ihc Health Services Inc. | Psychiatric Unit | 8 Th Avenue and C St, Salt Lake City, UT 84143-0001 | 2006-08-09 |
| 1437169497 | Ihc Health Services Inc. | Clinic/Center | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2006-08-09 |
| Street Address |
100 MARIO CAPECCHI DR |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84113-1103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033111810 | Andrew Gerald Smith | Legal Medicine | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2005-08-11 |
| 1235535485 | Ihc Health Services Inc | Clinic/Center | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2014-11-17 |
| 1508262833 | Aimee Brierley | Occupational Therapist | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2014-11-13 |
| 1801290986 | Jeffery Zobell | Pharmacist | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2014-10-17 |
| 1336542778 | Bevan Jensen | Pharmacist | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2014-09-30 |
| 1699183152 | Kristina Rogers | Dentist | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2014-07-29 |
| 1548677297 | Stephanie Eva Wisniewski | Speech-Language Pathologist | 100 Mario Capecchi Dr, Primary Children's Rehab, Salt Lake City, UT 84113-1103 | 2014-07-15 |
| 1184044877 | Adam Wesley Dell | Pediatrics | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2014-04-21 |
| 1225456718 | Bhanu Muniyappa | Pediatrics | 100 Mario Capecchi Dr, Pediatrics Residency Program, Salt Lake City, UT 84113-1103 | 2014-04-01 |
| 1265850952 | Kristina Gulliver | Pediatrics | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2014-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386111060 | Melissa Marie Dixon | Psychologist | Primary Children's Hospital Outpatient Services, 81 South Mario Capecchi Drive, Salt Lake City, UT 84113 | 2018-10-31 |
| 1366965618 | Ashley Stuart | Psychologist | 44 North Mario Capecchi Drive, Salt Lake City, UT 84113 | 2017-07-19 |
| 1487945135 | Justin C Wheeler | Pediatrics | 81 N Mario Capecchi Dr Fl 4, Salt Lake City, UT 84113 | 2011-04-29 |
| 1154612117 | Dana Boucek | Pediatrics | 100 North Mario Capecchi Dr., Primary Children's, Salt Lake City, UT 84113 | 2011-04-26 |
| 1285959502 | Anna Katherine Eyre Ermarth | Pediatrics | 81 Mario Capecchi, Salt Lake City, UT 84113 | 2010-03-30 |
| 1457682072 | Elizabeth K Cho | Nurse Practitioner | 100 North Mario Cappechi Dr., Salt Lake City, UT 84113 | 2010-01-21 |
| 1528290848 | Nancy Crandell Brown | Nurse Practitioner | 100 North Mario Cappechi Drive, Salt Lake City, UT 84113 | 2009-08-20 |
| 1679708481 | Primary Children's Medical Center | General Acute Care Hospital | 100 No. Mario Capecchi Drive, Salt Lake, UT 84113 | 2009-05-22 |
| 1467697235 | Tara Hook | Physical Therapist | 100 North Mario Capecchi Dr, Salt Lake City, UT 84113 | 2008-12-09 |
| 1144474768 | Jennifer K Workman | Pediatrics | 100 N Mario Capecchi Drive, Pediatric Crtical Care, Primary Children's Hospital, Salt Lake City, UT 84113 | 2008-11-10 |
| Find all providers in zip 84113 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1487184610 | Heron Medical Pllc | Clinic/Center | 77 S 700 E Ste 220, Salt Lake City, UT 84102-1162 | 2017-06-20 |
| 1669683579 | University Health Care | Clinic/Center | 30 N 1900 E # 3r210, Salt Lake City, UT 84132-2305 | 2007-05-24 |
| 1114145224 | Bilingual Health Care Center | Clinic/Center | 650 S Redwood Rd, Salt Lake City, UT 84104-3617 | 2007-04-23 |
| 1831214253 | Ihc Health Services Inc | Clinic/Center | 675 E 500 S, Ste 300, Salt Lake City, UT 84102-2818 | 2007-03-21 |
| 1699795831 | Ihc Health Services, Inc. | Clinic/Center | 325 8th Ave, Salt Lake City, UT 84143-0001 | 2006-07-20 |
| 1689153561 | Community Birth Group | Clinic/Center | 1172 E 4th Ave, Salt Lake City, UT 84103-4124 | 2018-08-10 |
| 1174033989 | University of Utah Adult Services | Clinic/Center | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2017-10-06 |
| 1851826192 | Finding Home Healthcare, Inc. | Clinic/Center | 1385 W 2200 S Ste 201, Salt Lake City, UT 84119-7208 | 2017-04-24 |
| 1790192235 | Healthworks Med Group of Utah P C | Clinic/Center | 222 S Main St, Salt Lake City, UT 84101-2174 | 2014-07-16 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84113 |
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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.