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Organization
IHC HEALTH SERVICES INC
Active
Organization
IHC HEALTH SERVICES INC
Active
Parent organization
IHC HEALTH SERVICES INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
IHC HEALTH SERVICES INC
Authorized official
NANNETTE BERENSEN (VICE PRESIDENT OF CLINICAL SYSTEMS)
(801) 284-1005
Entity
Organization
Contact information
Practice address
1380 E 480 SOUTH, STE 1200, ST GEORGE, UT 84790-2120
(435) 251-2560
(435) 251-2564
Mailing address
PO BOX 30013, SALT LAKE CITY, UT 84130-0013
(435) 251-2560
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
54116831703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427165117
—
AZ
05
—
1427165117
—
UT
01
—
2100763
PK
—
Enumeration date
08/25/2006
Last updated
05/04/2018
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