Organization
IHC HEALTH SERVICES INC
Active
Other names
Intermountain Health Home Medical Equipment American Fork
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
98 N 1100 E STE 101, AMERICAN FORK, UT 84003-2940
(801) 492-2273
Mailing address
98 N 1100 E, SUITE 101, AMERICAN FORK, UT 84003-2935
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558736090
—
UT
Enumeration date
12/09/2015
Last updated
03/11/2026
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