INTEGRATED CARE CLINIC – NPI #1518414481
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

INTEGRATED CARE CLINIC is a provider located in PROVO, UT. NPPES has assigned the NPI number 1518414481 to INTEGRATED CARE CLINIC on September 08, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “INTEGRATED CARE CLINIC” is a dba name, the actual legal business name for this organization is IHC HEALTH SERVICES INC. The NPI data also shows multiple names associated with this provider such as INTEGRATED CARE CLINIC and 4 other listed below. According to the NPI data, there are 4 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

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 INTEGRATED CARE CLINIC below.

NPI Profile for
IHC HEALTH SERVICES INC

NPI Number
1518414481
Enumeration Date

(about 10 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): INTEGRATED CARE CLINIC
Other name(s)
All associated names:
Doing Business As (dba)
INTEGRATED CARE CLINIC
Doing Business As (dba)
Integrated Community Care Team - DX
Doing Business As (dba)
Integrated Community Care Team - IM
Doing Business As (dba)
Integrated Community Care Team - MK
Doing Business As (dba)
Integrated Community Care Team-UV
Primary location
395 W COUGAR BLVD STE 603
PROVO, UT 84604-3331
Phone: (801) 357-1722 Fax:
4 Other location(s):
5217 S State St Ste 250
Murray, UT 84107-4943
Phone: (801) 507-2410
4387 Harrison Blvd Ste C1
Ogden, UT 84403-3148
Phone: (801) 387-2688
395 W Bulldog Blvd Ste 603
Provo, UT 84604
Phone: (801) 357-1779
544 S 400 E
St George, UT 84770-3705
Phone: (435) 251-2449
Mailing address
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone: (801) 357-1722 Fax:
Organization Subpart
No
Authorized Official
MARK BRIESACHER
SVP - CHIEF PHY EXECUTIVE
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
207Q00000X
- Family Medicine (Primary)

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.