Healthcare Provider Details
I. General information
NPI: 1144881434
Provider Name (Legal Business Name): IHC HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/26/2019
Last Update Date: 09/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5063 S COTTONWOOD ST
MURRAY UT
84107-6766
US
IV. Provider business mailing address
PO BOX 27128
SALT LAKE CITY UT
84127-0128
US
V. Phone/Fax
- Phone: 833-626-6646
- Fax:
- Phone: 801-442-1853
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR0207X |
| Taxonomy | Mobile Mammography Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JAYSON
ARGYLE
Title or Position: IMAGING SERVICES EXEC DIR
Credential:
Phone: 801-507-9378