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
1	207P00000X	Emergency Medicine Physician	358	UT

General Provider Information

NPI Number	:	1033240460
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IHC HEALTH SERVICES INC

Provider Business Mailing Address
First Line	:	PO BOX 27128
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84127-0128
Country	:	US
Telephone Number	:	801-786-7500
Fax Number	:

Provider Business Practice Location Address
First Line	:	2400 N WASHINGTON BLVD
Second Line	:
City	:	NORTH OGDEN
State	:	UT
Zip	:	84414-7233
Country	:	US
Telephone Number	:	801-786-7500
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ROBERT ALLEN
Credential	:
Telephone Number	:	801-442-2000

Provider Enumeration Date	:	03/08/2007
Last Update Date	:	05/12/2026

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