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General NPI Number Information
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NPI Number | 1457823940
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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 | 12/20/2018
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 550 E 1400 N STE T
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City | LOGAN
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State | UT
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Zip | 84341-2407
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Country | US
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Telephone | 435-716-1320
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 27128
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City | SALT LAKE CITY
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State | UT
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Zip | 84127-0128
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Country | US
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Telephone | 435-716-1320
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Fax |
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Authorized Official
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Title or Position | EVP CHIEF CLINICAL OFFICER
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Name | DR. JP VALIN
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Credential | MD
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Telephone | 801-442-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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