Organization
IHC HEALTH SERVICES, INC.
Active
Other names
Intermountain Medical Center Dialysis Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVE LARSEN (CHIEF FINANCIAL OFFICER)
(801) 408-1883
Entity
Organization
Contact information
Practice address
74 W VINE STREET, MURRAY, UT 84107
(801) 507-9000
Mailing address
4646 LAKE PARK BLVD, SALT LAKE CITY, UT 84120-8212
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
2005-ESRD-225
—
Other
Enumeration date
01/23/2007
Last updated
02/25/2016
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