Healthcare Provider Details

I. General information

NPI: 1851338495
Provider Name (Legal Business Name): IHC HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

674 S HIGHWAY 99
FILLMORE UT
84631-5013
US

IV. Provider business mailing address

4646 LAKE PARK BLVD
SALT LAKE CITY UT
84120-8212
US

V. Phone/Fax

Practice location:
  • Phone: 435-743-5591
  • Fax: 435-743-6312
Mailing address:
  • Phone: 801-442-8468
  • Fax: 801-442-0066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number2005HOSP25387
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. DENIS SMITH
Title or Position: CFO
Credential:
Phone: 801-442-2000