Healthcare Provider Details

I. General information

NPI: 1376697334
Provider Name (Legal Business Name): IHC HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2511 S WEST TEMPLE STE 130
SOUTH SALT LAKE UT
84115-3090
US

IV. Provider business mailing address

PO BOX 30180
SALT LAKE CITY UT
84130-0180
US

V. Phone/Fax

Practice location:
  • Phone: 801-408-1400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0700X
TaxonomyEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
License Number2005-ESRD-230
License Number StateUT

VIII. Authorized Official

Name: ROBERT ALLEN
Title or Position: CEO
Credential:
Phone: 801-442-2000