Organization Name: | IHC HEALTH SERVICES INC |
NPI Number: | 1043324585 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RODNEY BARTON (ADMINISTRATOR) |
Mailing Address: | 1501 Hiland Ave Burley |
State: | ID US |
Postal Code: | 833182682 |
Phone Number: | 2086784444 |
Fax Number: | |
NPI Enumeration Date: | 08/19/2006 |
NPI Last Update Date: | 02/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Multi-Specialty |
Taxonomy Definition: |