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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
1207Q00000XFamily Medicine Physician
2207R00000XInternal Medicine Physician
3207RC0000XCardiovascular Disease Physician
4207W00000XOphthalmology Physician
5207P00000XEmergency Medicine Physician
62083P0011XUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
7208800000XUrology Physician
8363A00000XPhysician Assistant
9363L00000XNurse Practitioner
10367500000XCertified Registered Nurse Anesthetist
11261QM1300XMulti-Specialty Clinic/Center2005HOSP25384UT

General Provider Information

NPI Number : 1760429302
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 : 801-442-8468
Fax Number : 801-442-0066
Provider Business Practice Location Address
First Line : 126 WHITE SAGE AVE
Second Line :
City : DELTA
State : UT
Zip : 84624-8937
Country : US
Telephone Number : 435-864-5591
Fax Number : 435-864-4186
Authorized Official
Title or Position : CFO
Name : MR. DENIS SMITH
Credential :
Telephone Number : 801-442-2000
Provider Enumeration Date : 06/01/2006
Last Update Date : 09/14/2023

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65 E 200 S
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Directions to “IHC HEALTH SERVICES INC ” Practice Location

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