# IHC HEALTH SERVICES INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Integrated Community Care Team - DX, Integrated Community Care Team - IM, Integrated Care Clinic, Integrated Community Care Team-UV, Integrated Community Care Team - MK
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518414481
- **Authorized official:** DR. MARK BRIESACHER MD (SVP - CHIEF PHY EXECUTIVE)
- **Authorized official phone:** (801) 442-3495

## Contact information

- **Practice address:** 395 W COUGAR BLVD STE 603, PROVO, UT 84604-3331
- **Practice address phone:** (801) 357-1722
- **Mailing address:** PO BOX 27128, SALT LAKE CITY, UT 84127-0128
- **Mailing address phone:** (801) 357-1722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/08/2016
- **Last updated:** 01/07/2021