# IHC HEALTH SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Liberty Elementary
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659630457
- **Authorized official:** MARK BRIESACHER MD (CHIEF PHYS EXEC/PRES MEDICAL GROUP)
- **Authorized official phone:** (801) 442-3495

## Contact information

- **Practice address:** 1078 S 300 E, SALT LAKE CITY, UT 84111-4638
- **Practice address phone:** (801) 408-3585
- **Mailing address:** PO BOX 27128, SALT LAKE CITY, UT 84127-0128
- **Mailing address phone:** (801) 578-8376

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 4562012 | UT | Yes |

## Other

- **Enumeration date:** 05/14/2012
- **Last updated:** 02/27/2018