OrganizationActive
Ihc Health Services Inc
NPI 1174039614 · Pediatric Critical Care Medicine Physician · Provo, UT
Provider details
- NPI number
- 1174039614
- Entity type
- Organization
- Primary specialty
- Pediatric Critical Care Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Briesacher, Svp Chief Exec Phys/Mg Pres(801) 442-3495
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1034 N 500 W
Provo, UT 84604-3380
Phone: (801) 357-3809
Street-level locationGet directions
Mailing address
Po Box 27128
Salt Lake City, UT 84127-0128
Other names (DBA / former)
- Doing business as
- Utah Valley Pediatric Intensivists
Registry dates
- Enumerated
- 2017-12-20
- Last updated
- 2018-11-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.