INTERMOUNTAIN PROVO INSTACARE – NPI #1396982203
Clinic/Center

INTERMOUNTAIN PROVO INSTACARE is an AHC clinic located in PROVO, UT. NPPES has assigned the NPI number 1396982203 to INTERMOUNTAIN PROVO INSTACARE on January 14, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “INTERMOUNTAIN PROVO INSTACARE” is a dba name, the actual legal business name for this organization is IHC HEALTH SERVICES INC. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was previously updated about 5 years ago on Jan 07, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INTERMOUNTAIN PROVO INSTACARE below.

NPI Profile for
IHC HEALTH SERVICES INC

NPI Number
1396982203
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
IHC HEALTH SERVICES INC
Doing Business As (dba): INTERMOUNTAIN PROVO INSTACARE
Other name(s)
All associated names:
Doing Business As (dba)
INTERMOUNTAIN PROVO INSTACARE
Doing Business As (dba)
Utah Valley InstaCare
Primary location
395 W COUGAR BLVD STE 205
PROVO, UT 84604-3328
Phone: (801) 357-1770 Fax:
1 Other location(s):
1134 N 500 W
#103
Provo, UT 84604-3383
Phone: (801) 357-1770
Mailing address
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone: (801) 357-1770 Fax:
Organization Subpart
No
Authorized Official
MARK BRIESACHER
SVP-CHIEF PHYS EXEC / PRES IMG
Phone: (801) 442-3495
Updated
Certification Date
Jan 07, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)
207P00000X
- Emergency Medicine		 UT 8602008

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.