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Organization
IHC HEALTH SERVICES INC
Active
Organization
IHC HEALTH SERVICES INC
Active
Other names
Intermountain Health Home Health Provo, Intermountain Health Home Health Heber City, Intermountain Health Home Health Salt Lake
Organization subpart
No
Provider details
NPI number
Authorized official
MARK PROVAN (VP-HOMECARE HOSPICE PALLIATIVE CARE)
(801) 442-2000
Entity
Organization
Contact information
Practice address
11520 S REDWOOD ROAD, SOUTH JORDAN, UT 84095
(385) 887-6000
(801) 442-0603
Mailing address
11520 S REDWOOD ROAD, SOUTH JORDAN, UT 84095
(385) 887-6000
(801) 442-0603
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA-136
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447344098
—
UT
Enumeration date
10/03/2006
Last updated
01/29/2025
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