INTEGRATED CARE CLINIC
NPI 1518414481
Family Medicine in Provo, UT

Active since September 08, 2016
395 W COUGAR BLVD STE 603, PROVO, UT 84604(801) 357-1722 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 7, 2021, Jun 14, 2019, Sep 29, 2018 (3 updates tracked since 2018).

About Integrated Care Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTEGRATED CARE CLINIC (NPI 1518414481) is a healthcare organization registered as a family medicine in Provo, Utah and active in the NPI registry since September 2016. The organization maintains 4 additional practice locations and lists Mark Briesacher, Svp - Chief Phy Executive, as its authorized official.

NPPES Registry Identity

NPI1518414481
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameIHC HEALTH SERVICES INC
Location Address395 W COUGAR BLVD STE 603Provo, UT 84604-3331
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 357-1722
Organization SubpartNo
Authorized OfficialMark BriesacherSvp - Chief Phy Executive · (801) 442-3495
Enumeration DateSeptember 8, 2016
Last NPPES UpdateJanuary 7, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2021
✔ NPI 1518414481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
395 W COUGAR BLVD STE 603, Provo, UT 84604

Other Names 5

Doing Business AsIntegrated Care Clinic
Doing Business AsIntegrated Community Care Team - Dx
Doing Business AsIntegrated Community Care Team - Im
Doing Business AsIntegrated Community Care Team - Mk
Doing Business AsIntegrated Community Care Team-uv

Secondary Practice Locations 4

Location 14387 Harrison Blvd Ste C1Ogden, UT 84403-3148 · Phone (801) 387-2688
Location 25217 S State St Ste 250Murray, UT 84107-4943 · Phone (801) 507-2410
Location 3544 S 400 ESt George, UT 84770-3705 · Phone (435) 251-2449
Location 4395 W Bulldog Blvd Ste 603Provo, UT 84604 · Phone (801) 357-1779

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Integrated Care Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3,683

Medicare enrollment records show 3,683 clinicians reassign Medicare billing to Integrated Care Clinic, which bills Medicare for the services they deliver. Of these, 17 practice at this address and 419 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 68

Nurse Practitioner813
Family Practice484
Internal Medicine246
Hospitalist196
Obstetrics/Gynecology193
Pediatric Medicine184
Psychiatry110
General Surgery83
60 other specialties1,374

Nearest to this location (20)

See all 3,683
Physical Medicine and Rehabilitation
NPI 1003436122
395 W COUGAR BLVD STE 802
Provo, UT 84604
(801) 357-8818
✔ PECOS✔ Accepts MedicareSame address
Sleep Medicine
NPI 1861856510
395 W COUGAR BLVD
Provo, UT 84604
(801) 357-7291
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1003551953
395 W COUGAR BLVD STE 803
Provo, UT 84604
(801) 235-7246
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1629431788
395 W COUGAR BLVD STE 803
Provo, UT 84604
(801) 235-7246
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1386746659
395 W COUGAR BLVD STE 203
Provo, UT 84604
(801) 357-7009
✔ PECOSSame address
Physical Medicine and Rehabilitation
NPI 1174143200
395 W COUGAR BLVD STE 502
Provo, UT 84604
(801) 357-8818
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1790239671
395 W COUGAR BLVD STE 803
Provo, UT 84604
(801) 235-7246
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1942788807
395 E COUGAR BLVD 101
Provo, UT 84604
(801) 357-7850
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1871080879
395 W COUGAR BLVD STE 803
Provo, UT 84604
(801) 235-7246
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1639982812
395 W COUGAR BLVD STE 202
Provo, UT 84604
(801) 357-0550
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1174054936
395 W COUGAR BLVD STE 803
Provo, UT 84604
(801) 235-7246
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1609004050
395 W COUGAR BLVD STE 203
Provo, UT 84604
(801) 357-7009
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1972765402
395 W COUGAR BLVD STE 205
Provo, UT 84604
(801) 357-1770
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1902303522
395 W COUGAR BLVD STE 602
Provo, UT 84604
(801) 357-0570
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1386106698
395 W COUGAR BLVD
Provo, UT 84604
(801) 357-7081
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1467460246
395 W COUGAR BLVD STE 501
Provo, UT 84604
(801) 357-4945
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1952332223
395 W COUGAR BLVD STE 803
Provo, UT 84604
(801) 235-7246
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1952610743
1055 N 300 W STE 205
Provo, UT 84604
(801) 374-9100
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Social Worker
NPI 1316044381
1055 N 300 W STE 104
Provo, UT 84604
(801) 357-7525
✔ PECOS✔ Accepts Medicare0.1 mi
Thoracic Surgery
NPI 1083629828
1055 N 300 W #110
Provo, UT 84604
(801) 357-7081
✔ PECOS✔ Accepts Medicare0.1 mi
See all 3,683 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ihc Health Services Inc's NPI number?

The NPI number for Ihc Health Services Inc is 1518414481. It was assigned to this organization in the NPPES registry on September 8, 2016. The provider is doing business as Integrated Care Clinic, Integrated Community Care Team - DX, Integrated Community Care Team - IM and Integrated Community Care Team - MK. Additional names are listed in the Other Names section above.

Where is Ihc Health Services Inc located?

Ihc Health Services Inc is located at 395 W Cougar Blvd Ste 603, Provo, UT 84604. The listed phone number is (801) 357-1722.

What is Ihc Health Services Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ihc Health Services Inc enrolled in Medicare?

Yes. Ihc Health Services Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ihc Health Services Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3,683 clinicians in 68 Medicare specialties reassign their Medicare billing to Ihc Health Services Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (813), Family Practice (484) and Internal Medicine (246). Of these, 17 practice at this address and 419 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ihc Health Services Inc was last updated on January 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.