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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
1275N00000XMedicare Defined Swing Bed Hospital Unit2013-HOSP-25384UT
2282NC0060XCritical Access Hospital2013-HOSP-25384UT
33336I0012XInstitutional Pharmacy1308981704UT
4282NC0060XCritical Access Hospital2016-HOSP-25384UT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12137229OTHERPK

General Provider Information

NPI Number : 1962504068
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 : 126 WHITE SAGE AVE
Second Line :
City : DELTA
State : UT
Zip : 84624-8937
Country : US
Telephone Number : 435-864-5591
Fax Number :
Authorized Official
Title or Position : CFO
Name : MR. DENIS SMITH
Credential :
Telephone Number : 801-442-2000
Provider Enumeration Date : 09/01/2006
Last Update Date : 05/22/2024

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

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