IHC HEALTH SERVICES, INC — NPI 1043257538 (Board-Certified Anesthesiologist & Interventional Pain Specialist in FILLMORE, UT)

CMS-1500 Box 24J / 33a • NPI

1043257538

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

207L00000X (CMS 05)

Board-Certified Anesthesiologist & Interventional Pain Specialist

Box 32 Service Location & ZIP+4

674 S HIGHWAY 99, FILLMORE, UT, 84631-5013

✓ 9-Digit EDI 837 ZIP+4 (84631-5013)

Practice Phone & Referral Fax

(435) 743-5591

Fax: (435) 743-6312

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1043257538 (IHC HEALTH SERVICES, INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1043257538` (NPI-2 Organization / Facility)
Provider / Legal Name	IHC HEALTH SERVICES, INC
Plain-English Specialty	Board-Certified Anesthesiologist & Interventional Pain Specialist NUCC Code: `207L00000X` (Anesthesiology)
Certifying / Licensing Body	American Board of Anesthesiology (ABA)
Practice Location Address	674 S HIGHWAY 99, FILLMORE, UT, 84631-5013
Practice Telephone / Fax	Tel: (435) 743-5591 \| Fax: (435) 743-6312
Administrative Mailing Address	PO BOX 30180, SALT LAKE CITY, UT, 84130-0180
Enumeration & Last Sync	Enumerated: 2006-06-01 \| CMS Record Updated: 2020-08-22
Authorized Official	CRAIG WILEY (PAS, Mgr)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

674 S HIGHWAY 99, FILLMORE, UT, 84631-5013

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Plain-English Taxonomy & CMS Crosswalk (207L00000X)

What Does Taxonomy Code 207L00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207L00000X translates to:
"Board-Certified Anesthesiologist & Interventional Pain Specialist"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 05 (Physician/Anesthesiology) • CMS Code 79 (Physician/Addiction Medicine)
Certifying / Accrediting Authority: American Board of Anesthesiology (ABA)
Clinical Scope: Pre-surgical anesthesia evaluation, obstetric labor epidural care, or interventional spine and nerve block procedures for chronic pain.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (IHC HEALTH SERVICES, INC)

Typical CPT / Diagnostic Procedures:

General Endotracheal Anesthesia & Total Intravenous Anesthesia (TIVA)
Ultrasound-Guided Peripheral Nerve Blocks & Labor Epidural Analgesia
Fluoroscopic Epidural Steroid Injections & Facet Joint Blocks

Common Therapeutic Classes:

Propofol, Sevoflurane, Rocuronium & Sugammadex
Bupivacaine, Lidocaine & Ropivacaine Regional Anesthetics

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207L00000X` — Anesthesiology Plain English: Board-Certified Anesthesiologist & Interventional Pain Specialist	State: UT \| License: `2005HOSP25387` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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IHC HEALTH SERVICES, INC (NPI #1043257538)