LIBERTY ELEMENTARY
NPI 1659630457
Family Medicine in Salt Lake City, UT
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
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Liberty Elementary is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3,682Medicare enrollment records show 3,682 clinicians reassign Medicare billing to Liberty Elementary, which bills Medicare for the services they deliver. Of these, 1,242 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 68
Nearest to this location (20)
See all 3,682Source: 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 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.
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), 3,682 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 (245). Of these, 1,242 practice 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 February 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Liberty Elementary · NPI 1659630457
Family Medicine organization in Salt Lake City, Utah. Organization record, active in the CMS NPPES registry since May 14, 2012.
## Identity
- **NPI:** 1659630457 (Entity type: Organization)
- **Enumerated:** May 14, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Ihc Health Services Inc
- **Organization subpart:** No
- **Authorized official:** Mark Briesacher, CHIEF PHYS EXEC/PRES MEDICAL GROUP
## Practice location
- **Address:** 1078 S 300 E, Salt Lake City, UT 84111-4638
- **Phone:** (801) 408-3585
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3,682 clinicians in 68 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (813), Family Practice (484), Internal Medicine (245); 1,242 practice within 10 miles; [full list](https://npiprofile.com/npi/1659630457/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 27, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1659630457) · Data from the CMS NPPES public registry.