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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
1176B00000XMidwife5342008UT
2207V00000XObstetrics & Gynecology Physician

General Provider Information

NPI Number : 1326200940
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 : 801-408-1440
Fax Number :
Provider Business Practice Location Address
First Line : 324 E 10TH AVE STE 200
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84103-2869
Country : US
Telephone Number : 801-408-7500
Fax Number :
Authorized Official
Title or Position : SVP CHIEF PHYS EXEC-PRES MG
Name : DR. MARK BRIESACHER
Credential : MD
Telephone Number : 801-442-3495
Provider Enumeration Date : 06/25/2008
Last Update Date : 01/28/2022

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Directions to “IHC HEALTH SERVICES INC ” Practice Location

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