Healthcare Provider Details

I. General information

NPI: 1730423153
Provider Name (Legal Business Name): IHC HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2012
Last Update Date: 11/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1485 S HIGHWAY 40
HEBER CITY UT
84032-3522
US

IV. Provider business mailing address

1485 S HIGHWAY 40
HEBER CITY UT
84032-3522
US

V. Phone/Fax

Practice location:
  • Phone: 435-657-4440
  • Fax:
Mailing address:
  • Phone: 435-657-4440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number375312-1704
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code3336N0007X
TaxonomyNuclear Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: GREGORY MARSING
Title or Position: DIRECTOR OF PHARMACY
Credential:
Phone: 435-657-4440