Organization
IHC HEALTH SERVICES INC
Active
Other names
Primary Childrens Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATY WELKIE (CEO/ADMINISTRATOR)
(801) 662-1000
Entity
Organization
Contact information
Practice address
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-1000
Mailing address
81 N MARIO CAPECCHI DRIVE, SALT LAKE CITY, UT 84113
(801) 662-1000
(801) 662-6202
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
UT
Other
Enumeration date
11/17/2014
Last updated
09/25/2015
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