Organization
IHC HEALTH SERVICES INC
Active
Organization
IHC HEALTH SERVICES INC
Active
Other names
Intermountain Health Hospice Logan
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
550 E 1400 N STE G, LOGAN, UT 84341-2450
(435) 716-5477
Mailing address
11520 S REDWOOD RD, SOUTH JORDAN, UT 84095-7805
(385) 887-6000
(801) 442-0603
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245305689
—
UT
Enumeration date
11/21/2006
Last updated
01/29/2025
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