Healthcare Provider Details
I. General information
NPI: 1942122478
Provider Name (Legal Business Name): IHC HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
900 ROUND VALLEY DR STE 110
PARK CITY UT
84060-7552
US
IV. Provider business mailing address
PO BOX 30180
SALT LAKE CITY UT
84130-0180
US
V. Phone/Fax
- Phone: 435-658-6750
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JP
VALIN
Title or Position: CHIEF CLINICAL OFFICER
Credential: MD
Phone: 801-442-2000