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General NPI Number Information
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NPI Number | 1972678316
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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 | 11/21/2006
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 1501 HILAND AVE STE Z
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City | BURLEY
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State | ID
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Zip | 83318-2688
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Country | US
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Telephone | 208-677-6314
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Fax |
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Provider Business Mailing 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 | 385-887-6000
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Fax | 801-442-0603
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Authorized Official
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Title or Position | VP-HOMECARE HOSPICE PALLIATIVE CARE
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Name | MARK PROVAN
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Credential |
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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 | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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