Organization
IHC HEALTH SERVICES INC
Active
Other names
Intermountain Provo InstaCare, Utah Valley InstaCare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK BRIESACHER MD (SVP-CHIEF PHYS EXEC / PRES IMG)
(801) 442-3495
Entity
Organization
Contact information
Practice address
395 W COUGAR BLVD STE 205, PROVO, UT 84604-3328
(801) 357-1770
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 357-1770
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
8602008
UT
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/14/2009
Last updated
01/07/2021
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