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	207RP1001X	Pulmonary Disease Physician

General Provider Information

NPI Number	:	1689469074
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	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5171 S COTTONWOOD ST
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84107-5704
Country	:	US
Telephone Number	:	801-507-4800
Fax Number	:

Authorized Official
Title or Position	:	EVP CHIEF CLINICAL OFFICER
Name	:	JP VALIN
Credential	:	MD
Telephone Number	:	801-442-2000

Provider Enumeration Date	:	04/14/2025
Last Update Date	:	04/14/2025

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Directions to “IHC HEALTH SERVICES, INC. ” Practice Location

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