Organization
IHC HEALTH SERVICES INC
Active
Other names
Cassia Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE BLAUER (ADMINISTRATOR)
(801) 442-2000
Entity
Organization
Contact information
Practice address
521 E MAIN ST, BURLEY, ID 83318-1936
(208) 677-6091
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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