Organization Name: | IHC HEALTH SERVICES, INC |
NPI Number: | 1033161062 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CRAIG WILEY (PAS MGR) |
Mailing Address: | 126 White Sage Ave Delta |
State: | UT US |
Postal Code: | 846248937 |
Phone Number: | 4358645591 |
Fax Number: | 4358644186 |
NPI Enumeration Date: | 05/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology |
Taxonomy Definition: |