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Ihc Health Services Inc — NPI 1588055511, Provo, UT | NPI Central

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NPI 1588055511

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Ihc Health Services Inc

NPI 1588055511 · Hospice and Palliative Medicine (Family Medicine) Physician · Provo, UT

Provider details

NPI number: 1588055511
Entity type: Organization
Primary specialty: Hospice and Palliative Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Mark Briesacher, Svp - Chief Phy Executive(801) 442-3495
License: 742502015 (UT)

Specialties & taxonomies

Hospice and Palliative Medicine (Family Medicine) PhysicianPrimary207QH0002XLicense 742502015 (UT)
Allopathic & Osteopathic Physicians

Practice location

395 W Cougar Blvd Ste 102

Provo, UT 84604-3334

Phone: (801) 357-8586

Approximate (ZIP-level) locationGet directions

More UT providers

Mailing address

Po Box 27128

Salt Lake City, UT 84127-0128

Other names (DBA / former)

Doing business as: Utah Valley Palliative Care Clinic
Doing business as: Utah Valley Palliative Care Clinic

Registry dates

Enumerated: 2015-02-12
Last updated: 2021-01-14
Certified: 2021-01-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.