Organization
IHC HEALTH SERVICES INC
Active
Other names
Intermountain Health Home Medical Equipment Heber City
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
175 N MAIN ST, SUITE 104, HEBER CITY, UT 84032-1606
(435) 657-4326
Mailing address
11520 S REDWOOD RD, SOUTH JORDAN, UT 84095-7805
(385) 887-6000
(801) 442-0603
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
95540
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427364348
—
UT
Enumeration date
08/30/2010
Last updated
01/29/2025
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