Organization Name: | IHC HEALTH SERVICES INC |
NPI Number: | 1518978733 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERIC PACKER (ADMINISTRATOR) |
Mailing Address: | 905 N 1000 W Tremonton |
State: | UT US |
Postal Code: | 843379356 |
Phone Number: | 4352074500 |
Fax Number: | |
NPI Enumeration Date: | 08/11/2006 |
NPI Last Update Date: | 02/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1300X |
License Number: | 2005-HOSP-166 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Multi-Specialty |
Taxonomy Definition: |