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	275N00000X	Medicare Defined Swing Bed Hospital Unit	2005-HOSP-166	UT
2	282N00000X	General Acute Care Hospital	2005-HOSP-166	UT

General Provider Information

NPI Number	:	1679582944
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	:	905 NORTH 1000 WEST
Second Line	:
City	:	TREMONTON
State	:	UT
Zip	:	84337-9356
Country	:	US
Telephone Number	:	435-207-4500
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	MR. DENIS SMITH
Credential	:
Telephone Number	:	801-442-2000

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	04/10/2024

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Directions to “IHC HEALTH SERVICES INC ” Practice Location

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