Healthcare Provider Details

I. General information

NPI: 1184051880
Provider Name (Legal Business Name): IHC HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2013
Last Update Date: 09/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5121 S COTTONWOOD ST
MURRAY UT
84107-5701
US

IV. Provider business mailing address

PO BOX 30180
SALT LAKE CITY UT
84130-0180
US

V. Phone/Fax

Practice location:
  • Phone: 801-507-7673
  • Fax:
Mailing address:
  • Phone: 801-507-7673
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number6432908-3102
License Number StateUT

VIII. Authorized Official

Name: WENDY KATHLEEN STEFFES
Title or Position: CHILDBIRTH EDUCATOR
Credential: RN
Phone: 801-507-7673