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Organization
IHC HEALTH SERVICES INC
Active
Organization
IHC HEALTH SERVICES INC
Active
Other names
Intermountain Utah Valley Hospitalists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK BRIESACHER MD (CLINICAL INTEGRATION SR VP)
(801) 442-3495
Entity
Organization
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-8310
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 357-8310
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
2005-HOSP-210
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC7742
RR MEDICARE
—
01
—
DN2837
RR MEDICARE
—
Enumeration date
03/07/2007
Last updated
01/07/2021
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