INTERMOUNTAIN PROVO INSTACARE
NPI 1396982203
Clinic/Center - Urgent Care in Provo, UT
NPI Status: Active since January 14, 2009
Contact Information
395 W COUGAR BLVD STE 205
PROVO, UT
ZIP 84604
Phone: (801) 357-1770
- Organization
- Clinic/Center
- Urgent Care
- Accepts Insurance
- CLIA Number: 46D0909471
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-21-2027
About INTERMOUNTAIN PROVO INSTACARE
This page provides the complete NPI Profile along with additional information for Intermountain Provo Instacare, a provider established in Provo, Utah operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1396982203 assigned on January 2009. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Intermountain Provo Instacare. The authorized official of this NPI record is Dr. Mark Briesacher Md (Svp-chief Phys Exec / Pres Img)
- NPI
- 1396982203
- Provider Legal Name
- IHC HEALTH SERVICES INC
- Other Organization Name
- INTERMOUNTAIN PROVO INSTACARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 395 W COUGAR BLVD STE 205 PROVO, UT 84604
- Location Phone
- (801) 357-1770
- Mailing Address
- PO BOX 27128 SALT LAKE CITY, UT 84127
- Mailing Phone
- (801) 357-1770
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-14-2009
- Last Update Date
- 01-07-2021
- Code Navigator
Location Map
Secondary Locations
- 1134 N 500 W #103
Provo, UT 84604
(801) 357-1770
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Urgent Care
- Taxonomy Code
- 261QU0200X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | 8602008 (UT) |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Med Benchmark Expanded Bronze Select Copay Plan - HMO
- Med Benchmark Expanded Bronze Standardized Plan - HMO
- Med Benchmark Gold Standardized Plan - HMO
- Med Benchmark Platinum - HMO
- Med Benchmark Platinum Standardized Plan - HMO
- Med Benchmark Silver 6000 Medical Deductible w/Vision - HMO
- Med Benchmark Silver Standardized Plan - HMO
- Med Gold 1500 Medical Deductible - HMO
- Signature Benchmark Gold - HMO
- Signature Benchmark Gold Standardized Plan - HMO
- Signature Benchmark Silver 5900 Medical Deductible - HMO
- Signature Benchmark Silver Standardized Plan - HMO
- Value Benchmark Expanded Bronze Select Copay Plan - HMO
- Value Benchmark Gold Standardized Plan - HMO
- Value Benchmark Platinum - HMO
- Value Benchmark Platinum Standardized Plan - HMO
- Value Benchmark Silver 5900 Medical Deductible - HMO
- Value Benchmark Silver Standardized Plan - HMO
- Value Expanded Bronze 6900 Medical Deductible - HMO
- Value Gold 1500 Medical Deductible - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 46D0909471
- Facility Type
- Physician Office
- Certificate Effective Date
- August 22, 2025
- Certificate Expiration Date
- August 21, 2027
- Laboratory Director
- ROBERT MEHL
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Intermountain Provo Instacare after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1396982203, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 17 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396982203, enumerated as an "organization" on January 14, 2009.
The provider is located at 395 W COUGAR BLVD STE 205 PROVO, UT 84604 and the phone number is (801) 357-1770.
Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.
The provider might be accepting Accepts: Select Health. Please consult your insurance carrier or call the provider to verify.
