LIBERTY ELEMENTARY
NPI 1659630457
Family Medicine in Salt Lake City, UT

Active since May 14, 2012
1078 S 300 E, SALT LAKE CITY, UT 84111(801) 408-3585 Get Directions Write a Review

NPPES record last updated: February 27, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 27, 2018, Aug 8, 2017 (2 updates tracked since 2017).

About Liberty Elementary NPPES

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

LIBERTY ELEMENTARY (NPI 1659630457) is a healthcare organization registered as a family medicine in Salt Lake City, Utah and active in the NPI registry since May 2012. The organization lists Mark Briesacher, Chief Phys Exec/pres Medical Group, as its authorized official.

NPPES Registry Identity

NPI1659630457
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameIHC HEALTH SERVICES INC
Location Address1078 S 300 ESalt Lake City, UT 84111-4638
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 578-8376
Organization SubpartNo
Authorized OfficialMark BriesacherChief Phys Exec/pres Medical Group · (801) 442-3495
Enumeration DateMay 14, 2012
Last NPPES UpdateFebruary 27, 20182 updates tracked since enumeration
NPI 1659630457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in UT · 4562012
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.

1078 S 300 E, Salt Lake City, UT 84111

Other Names 1

Doing Business AsLiberty Elementary

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
1078 S 300 E
SALT LAKE CITY, UT 84111

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 1659630457. It was assigned to this organization in the NPPES registry on May 14, 2012. The provider is doing business as Liberty Elementary.

Where is Ihc Health Services Inc located?

Ihc Health Services Inc is located at 1078 S 300 E, Salt Lake City, UT 84111. The listed phone number is (801) 408-3585.

What is Ihc Health Services Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Ihc Health Services Inc was last updated on February 27, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.