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NPI Code Detail

MEDICARE: IHC HEALTH SERVICES, INC

MEDICARE: IHC HEALTH SERVICES, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1558404426
Entity Type Code : Organization
Provider Name (Legal Business Name) : IHC HEALTH SERVICES, INC
Provider Business Mailing Address
First Line : PO BOX 27128
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84127-0128
Country : US
Telephone Number : 801-442-1652
Fax Number : 801-442-0653
Provider Business Practice Location Address
First Line : 475 W 940 N
Second Line :
City : PROVO
State : UT
Zip : 84604-3301
Country : US
Telephone Number : 801-357-7930
Fax Number : 801-442-0653
Authorized Official
Title or Position : DIRECTOR
Name : DR. MICHAEL L RHODES
Credential : M.D.
Telephone Number : 801-357-7946
Provider Enumeration Date : 02/14/2007
Last Update Date : 06/20/2008

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Directions to “IHC HEALTH SERVICES, INC ” Practice Location

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