Healthcare Provider Details
I. General information
NPI: 1417460205
Provider Name (Legal Business Name): IHC HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/15/2017
Last Update Date: 03/06/2024
Certification Date: 03/06/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
201 W LAYTON PKWY
LAYTON UT
84041-3692
US
IV. Provider business mailing address
PO BOX 30180
SALT LAKE CITY UT
84130-0180
US
V. Phone/Fax
- Phone: 801-442-3631
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QS1200X |
| Taxonomy | Sleep Disorder Diagnostic Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
DENIS
SMITH
Title or Position: CFO
Credential:
Phone: 801-442-2000