IHC HEALTH SERVICES INC (NPI# 1689180218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689180218 |
| Entity Type | Organization |
| Organization Name | IHC HEALTH SERVICES INC |
| Other Organization Name | UTAH VALLEY PEDIATRICS |
| Practice Address |
395 W Bulldog Blvd Ste 703 Provo UT 84604 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8017143440 |
| Mailing Telephone | 8017143440 |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2018-09-29 |
| Authorized Official Name | DR. MARK BRIESACHER (SVP - CHIEF PHYS EXEC/PRES-MG) |
| Authorized Official Telephone | 8014423495 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Provo Pediatrics | Doing Business As Name - Organization |
| Utah Valley Pediatrics | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 380 W 1230 N, Ste 703, Provo, UT 84604 | 8017143440 |
| 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 |
| 1447771993 | Ihc Health Services Inc | Podiatrist | 201 W Layton Parkway, Layton, UT 84041 | 2017-07-05 |
| Street Address |
395 W BULLDOG BLVD STE 703 |
| City | PROVO |
| State | UT |
| Zip Code | 84604 |
| 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 |
| 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 |
| 1518414481 | Ihc Health Services Inc | Family Medicine | 395 W Bulldog Blvd Ste 603, Provo, UT 84604 | 2016-09-08 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063723708 | Joshua Darrell Fuller | Pediatrics | 1675 N Freedom Blvd Ste 3, Provo, UT 84604-6927 | 2010-06-28 |
| 1740243971 | Christian Yanez Herrera | Pediatrics | 3824 N Little Rock Lane, Provo, UT 84604-5234 | 2006-04-10 |
| 1245290295 | Ronald C Jones | Pediatrics | 3325 N University Ave, Ste 100, Provo, UT 84604-4465 | 2006-03-24 |
| 1811956352 | Pediatric Care Inc | Pediatrics | 1675 N. Freedom Blvd., #3, Provo, UT 84604 | 2006-03-22 |
| 1922494889 | Douglas James Later | Pediatrics | 1055 N 300 W Ste 311, Provo, UT 84604-3373 | 2015-04-07 |
| 1942588082 | Keith J. Clayton, M.d., P.C. | Pediatrics | 1675 N Freedom Blvd, Ste 9c, Provo, UT 84604 | 2011-07-22 |
| 1124319314 | Aaron Wise Mccoy | Pediatrics | 1355 N University Ave Ste 210, Provo, UT 84604-2721 | 2011-04-22 |
| 1346531597 | Stevie Michelle Rowe | Pediatrics | 1034 N 500 W, Provo, UT 84604-3380 | 2011-04-22 |
| 1497078075 | Jennifer Marie Zalla | Pediatrics | 1034 N 500 W, Provo, UT 84604-3380 | 2010-03-10 |
| 1730413295 | Matthew Paul Steinfeldt | Pediatrics | 1034 N 500 W, Provo, UT 84604-3380 | 2009-09-30 |
| 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.