Organization
IHC HEALTH SERVICES INC
Active
Organization
IHC HEALTH SERVICES INC
Active
Other names
Intermountain Health Addiction Medicine & Recovery Clinic - Logan
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JP VALIN MD (EVP CHIEF CLINICAL OFFICER)
(801) 442-2000
Entity
Organization
Contact information
Practice address
550 E 1400 N STE T, LOGAN, UT 84341-2407
(435) 716-1320
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 716-1320
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/20/2018
Last updated
04/18/2025
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