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Organization
IHC HEALTH SERVICES INC
Active
Organization
IHC HEALTH SERVICES INC
Active
Other names
PCMC Research Park
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE J. JOHNSON (MANAGER, PROVIDER ENROLLMENT)
(801) 442-3156
Entity
Organization
Contact information
Practice address
5770 S 1500 W, BLDG C, SALT LAKE CITY, UT 84123-5216
(801) 313-7770
(801) 313-7771
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 442-1400
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/20/2007
Last updated
12/03/2013
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