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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
1261QM1300XMulti-Specialty Clinic/Center2005-HOSP-162UT

General Provider Information

NPI Number : 1669498069
Entity Type Code : Organization
Provider Name (Legal Business Name) : IHC HEALTH SERVICES INC
Provider Business Mailing Address
First Line : PO BOX 30180
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84130-0180
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9660 S 1300 E
Second Line :
City : SANDY
State : UT
Zip : 84094-3762
Country : US
Telephone Number : 801-501-2600
Fax Number :
Authorized Official
Title or Position : CFO
Name : MR. DENIS SMITH
Credential :
Telephone Number : 801-442-2000
Provider Enumeration Date : 07/15/2006
Last Update Date : 11/16/2022

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Directions to “IHC HEALTH SERVICES INC ” Practice Location

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