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General NPI Number Information
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NPI Number | 1669736278
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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 | 06/28/2012
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 11520 S REDWOOD RD
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City | SOUTH JORDAN
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State | UT
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Zip | 84095-7805
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Country | US
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Telephone | 385-887-7300
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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 | 385-887-7300
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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 | 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 | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) 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 | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) 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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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