IHC HEALTH SERVICES INC (NPI# 1417241704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417241704 |
| Entity Type | Organization |
| Organization Name | IHC HEALTH SERVICES INC |
| Other Organization Name | UTAH VALLEY TIA/STROKE CLINIC |
| Practice Address |
1055 N 300 W Ste 501 Provo UT 84604-3344 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8013578879 |
| Mailing Telephone | 8013578879 |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2017-01-19 |
| Authorized Official Name | DR. LINDA C LECKMAN (CEO INTERMOUNTAIN MEDICAL GROUP) |
| Authorized Official Telephone | 8014423974 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
885211 | UT | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Utah Valley TIA/Stroke Clinic | 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 |
1055 N 300 W STE 501 |
| City | PROVO |
| State | UT |
| Zip Code | 84604-3344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851397491 | Paul Ferron Olson | Specialist | 1055 N 300 W, Ste 204, Provo, UT 84604-3374 | 2005-06-27 |
| 1215351416 | Jenny Coy | Nurse Practitioner | 1055 N 300 W, Ste 401, Provo, UT 84604-3306 | 2014-02-07 |
| 1356682553 | Andrea Lee Driggs | Nurse Practitioner | 1055 N 300 W, Suite 110, Provo, UT 84604-3344 | 2013-03-13 |
| 1003151853 | Sharla Morgan | Nurse Practitioner | 1055 N 300 W, Suite 212, Provo, UT 84604-3344 | 2012-12-05 |
| 1720356538 | Ihc Health Services Inc | Surgery | 1055 N 300 W, Ste 205, Provo, UT 84604-5044 | 2011-12-07 |
| 1053691246 | Steven Forsey | Audiologist | 1055 N 300 W, Ste 401, Provo, UT 84604-3344 | 2011-08-19 |
| 1134435837 | George C Gourley, Do | Obstetrics & Gynecology | 1055 N 300 W, Suite 305, Provo, UT 84604-3344 | 2010-08-19 |
| 1972818185 | Joseph Evans Dansie | Audiologist | 1055 N 300 W, Suite 401, Provo, UT 84604-3344 | 2010-08-11 |
| 1619293552 | Charles Brent Stubbs | Pharmacist | 1055 N 300 W, Suite 201, Provo, UT 84604-3344 | 2010-04-16 |
| 1336465566 | Jeffrey Paul Gardiner | Ophthalmology | 1055 N 300 W, Suite 204, Provo, UT 84604-3344 | 2010-04-13 |
| Find all providers in the same location | ||||
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659396695 | Joseph R Watkins | Psychiatry & Neurology | 1055 N 300 W Ste 404, Provo, UT 84604-3359 | 2006-07-12 |
| 1376544874 | Pamela L Vincent | Psychiatry & Neurology | 3152 N University Ave, Suite 220, Provo, UT 84604-4729 | 2005-08-09 |
| 1669859054 | Kenneth Scott Griffin | Psychiatry & Neurology | 395 W Bulldog Blvd, Provo, UT 84604-3311 | 2015-05-05 |
| 1952691792 | Warren Robert Zeigler Jr. | Psychiatry & Neurology | 1157 N 300 W, Provo, UT 84604-6124 | 2011-04-13 |
| 1801055934 | Ihc Health Services Inc | Psychiatry & Neurology | 3685 N 100 E, Provo, UT 84604-4594 | 2008-06-04 |
| 1710187133 | Matthew W Butrum | Psychiatry & Neurology | 1134 N 500 W, Suite 101, Provo, UT 84604-3383 | 2007-07-23 |
| 1831394881 | Pamela L. Vincent, Md Corp | Psychiatry & Neurology | 280 River Park Dr Ste 350, Provo, UT 84604-5802 | 2007-06-19 |
| 1174620389 | Joseph R. Watkins Md PC | Psychiatry & Neurology | 1055 N 300 W Ste 404, Provo, UT 84604-3359 | 2006-09-20 |
| 1659343564 | Douglas Roy Langford | Psychiatry & Neurology | 1055 N 500 W, Ste 212; Bldg C, Provo, UT 84604-3305 | 2006-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607589 | Trenton L Overall, Inc | Psychiatry & Neurology | 295 S 1470 E Ste 301, St George, UT 84790-1762 | 2020-10-23 |
| 1720648744 | Carepoint Health, LLC | Psychiatry & Neurology | St. Mark's Hospital, 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2019-06-20 |
| 1629596382 | Red Rock Neurology, LLC | Psychiatry & Neurology | 515 S 300 E Ste 107, St George, UT 84770-3931 | 2017-09-01 |
| 1225482276 | Preston Erickson | Psychiatry & Neurology | 4403 Harrison Blvd Ste 3855, Ogden, UT 84403-3349 | 2016-04-15 |
| 1801273743 | Michael Cline | Psychiatry & Neurology | 825 E 1700 S, Salt Lake City, UT 84105-3225 | 2015-04-29 |
| 1619219847 | Mark Waheed | Psychiatry & Neurology | The University of Utah, 50 North Medical Drive, Salt Lake City, UT 84132-0001 | 2013-03-26 |
| 1568707586 | Kyle Mahoney | Psychiatry & Neurology | 175 N Medical Drive E 3rd Floor, Salt Lake City, UT 84132 | 2012-12-03 |
| 1538435979 | Brett Tyson Alldredge | Psychiatry & Neurology | 4403 Harrison Blvd # 4403, Ogden, UT 84403-3271 | 2012-03-29 |
| 1922377043 | Southern Utah Neuropsychiatry | Psychiatry & Neurology | 577 East Tabernacle, St. George, UT 84770-2944 | 2011-12-19 |
| 1699076224 | Angela Yvonne Peters | Psychiatry & Neurology | University of Utah Dept of Neurology, 175 N Medical Drive East, Salt Lake City, UT 84132-0001 | 2010-11-12 |
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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.