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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
1261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
2275N00000XMedicare Defined Swing Bed Hospital Unit
3282NC0060XCritical Access Hospital2006-HOSP-213UT

General Provider Information

NPI Number : 1316055205
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 :
Fax Number :
Provider Business Practice Location Address
First Line : 454 E MEDICAL WAY
Second Line :
City : HEBER CITY
State : UT
Zip : 84032-1391
Country : US
Telephone Number : 435-654-2500
Fax Number :
Authorized Official
Title or Position : CFO
Name : MR. DENIS SMITH
Credential :
Telephone Number : 801-442-2000
Provider Enumeration Date : 08/29/2006
Last Update Date : 11/07/2023

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Directions to “IHC HEALTH SERVICES INC ” Practice Location

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