# IHC HEALTH SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Spanish Fork Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225632003
- **Authorized official:** DR. MARK BRIESACHER MD (SVP-CHIEF PHY EXECUTIVE)
- **Authorized official phone:** (801) 442-3495

## Contact information

- **Practice address:** 819 E MARKET PLACE DR, SPANISH FORK, UT 84660-5669
- **Practice address phone:** (801) 442-1883
- **Mailing address:** PO BOX 27128, SALT LAKE CITY, UT 84127-0128
- **Mailing address phone:** (801) 442-1853

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 207N00000X | Dermatology Physician | — | NULL | — |
| 207N00000X | Dermatology Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |
| 207RS0010X | Sports Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RS0010X | Sports Medicine (Internal Medicine) Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 207Y00000X | Otolaryngology Physician | — | NULL | — |
| 207Y00000X | Otolaryngology Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |

## Other

- **Enumeration date:** 11/23/2020
- **Last updated:** 11/23/2020