Healthcare Provider Details

I. General information

NPI: 1730254160
Provider Name (Legal Business Name): IHC HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3776 WALL AVE
OGDEN UT
84405-7103
US

IV. Provider business mailing address

11520 S REDWOOD RD
SOUTH JORDAN UT
84095-7805
US

V. Phone/Fax

Practice location:
  • Phone: 801-399-1400
  • Fax:
Mailing address:
  • Phone: 385-887-6000
  • Fax: 801-442-0603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHHA-141
License Number StateUT

VIII. Authorized Official

Name: MARK PROVAN
Title or Position: VP-HOMECARE HOSPICE PALLIATIVE CARE
Credential:
Phone: 801-442-2000