IHC HEALTH SERVICES INC — NPI 1760429302 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in DELTA, UT)

CMS-1500 Box 24J / 33a • NPI

1760429302

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QM1300X (CMS 70)

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

126 WHITE SAGE AVE, DELTA, UT, 84624-8937

✓ 9-Digit EDI 837 ZIP+4 (84624-8937)

Practice Phone & Referral Fax

(435) 864-5591

Fax: (435) 864-4186

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1760429302 (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	`1760429302` (NPI-2 Organization / Facility)
Provider / Legal Name	IHC HEALTH SERVICES INC
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QM1300X` (Clinic/Center, Multi-Specialty)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	126 WHITE SAGE AVE, DELTA, UT, 84624-8937
Practice Telephone / Fax	Tel: (435) 864-5591 \| Fax: (435) 864-4186
Administrative Mailing Address	PO BOX 30180, SALT LAKE CITY, UT, 84130-0180
Enumeration & Last Sync	Enumerated: 2006-06-01 \| CMS Record Updated: 2023-09-14
Authorized Official	DENIS SMITH (CFO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

126 WHITE SAGE AVE, DELTA, UT, 84624-8937

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Plain-English Taxonomy & CMS Crosswalk (261QM1300X)

What Does Taxonomy Code 261QM1300X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QM1300X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 70 (Clinic or Group Practice)
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (IHC HEALTH SERVICES INC)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207Q00000X` — Family Medicine Plain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)	State: N/A \| License: `Verified` \| Primary: Secondary
`207R00000X` — Internal Medicine Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: N/A \| License: `Verified` \| Primary: Secondary
`207RC0000X` — Internal Medicine, Cardiovascular Disease Plain English: Board-Certified Cardiologist (Heart & Blood Vessel Specialist)	State: N/A \| License: `Verified` \| Primary: Secondary
`207W00000X` — Ophthalmology Plain English: Board-Certified in Ophthalmology (Medical & Microsurgical Eye Doctor)	State: N/A \| License: `Verified` \| Primary: Secondary
`207P00000X` — Emergency Medicine Plain English: Board-Certified Emergency Medicine Physician (ER / Trauma Doctor)	State: N/A \| License: `Verified` \| Primary: Secondary
`2083P0011X` — Preventive Medicine, Undersea and Hyperbaric Medicine Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Undersea and Hyperbaric Medicine	State: N/A \| License: `Verified` \| Primary: Secondary
`208800000X` — Urology Plain English: Board-Certified Urologist (Urinary Tract, Kidney Stone & Prostate Surgeon)	State: N/A \| License: `Verified` \| Primary: Secondary
`363A00000X` — Physician Assistant Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant	State: N/A \| License: `Verified` \| Primary: Secondary
`363L00000X` — Nurse Practitioner Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner	State: N/A \| License: `Verified` \| Primary: Secondary
`367500000X` — Nurse Anesthetist, Certified Registered Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered	State: N/A \| License: `Verified` \| Primary: Secondary
`261QM1300X` — Clinic/Center, Multi-Specialty Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: UT \| License: `2005HOSP25384` \| Primary: Yes (Primary)

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IHC HEALTH SERVICES INC (NPI #1760429302)