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NPI Code Detail

MEDICARE: IHC HEALTH SERVICES, INC

MEDICARE: IHC HEALTH SERVICES, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0200XRadiology Clinic/CenterUT

General Provider Information

NPI Number : 1033161062
Entity Type Code : Organization
Provider Name (Legal Business Name) : IHC HEALTH SERVICES, INC
Provider Business Mailing Address
First Line : PO BOX 30180
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84130-0180
Country : US
Telephone Number : 801-357-7475
Fax Number : 801-357-7997
Provider Business Practice Location Address
First Line : 126 WHITE SAGE AVE
Second Line :
City : DELTA
State : UT
Zip : 84624-8937
Country : US
Telephone Number : 435-864-5591
Fax Number : 435-864-4186
Authorized Official
Title or Position : PAS MGR
Name : MR. CRAIG WILEY
Credential :
Telephone Number : 801-357-7027
Provider Enumeration Date : 05/17/2006
Last Update Date : 08/22/2020

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Directions to “IHC HEALTH SERVICES, INC ” Practice Location

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