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General NPI Number Information
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NPI Number | 1144736372
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Entity Type | Organization
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Legal Business Name | IHC HEALTH SERVICES INC
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Dates
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Enumeration Date | 12/26/2017
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Last Update Date | 08/16/2019
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Provider Practice Location Address
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Address Line | 1400 N 500 E
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City | LOGAN
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State | UT
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Zip | 84341-2455
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Country | US
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Telephone | 800-399-6438
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 30180
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City | SALT LAKE CITY
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State | UT
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Zip | 84130-0180
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Country | US
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Telephone | 800-399-6438
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Fax |
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Authorized Official
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Title or Position | FINANCE VP - REVENUE CYCLE
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Name | TODD CRAGHEAD
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Credential |
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Telephone | 801-442-1325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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