OrganizationActive
Ihc Health Services Inc
NPI 1649304445 · Sports Medicine (Orthopaedic Surgery) Physician · Provo, UT
Provider details
- NPI number
- 1649304445
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Briesacher, Svp - Chief Phy Executive(801) 442-3495
- License
- 1987-07938 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1157 N 300 W
#201
Provo, UT 84604-6124
Phone: (801) 357-1200
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 27128
Salt Lake City, UT 84127-0128
Other names (DBA / former)
- Doing business as
- Intermountain Utah Valley Sports Medicine
- Doing business as
- Intermountain Utah Valley Sports Medicine
Additional practice locations (2)
- 1165 W 800 SOrem, UT 84058-6753Phone: (801) 357-7129
- 87 Smith FieldhouseProvo, UT 84602-2245Phone: (801) 357-1200
Registry dates
- Enumerated
- 2007-03-15
- Last updated
- 2021-01-07
- Certified
- 2021-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.