Organization
IHC HEALTH SERVICES INC
Active
Other names
Intermountain Health Home Health Fillmore, Intermountain Health Home Health Richfield, Intermountain Health Home Health Mt. Pleasant
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
130 W MAIN ST, MT PLEASANT, UT 84647-1328
(435) 462-3431
Mailing address
11520 S REDWOOD RD, SOUTH JORDAN, UT 84095-7805
(385) 887-6000
(801) 442-0603
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA-146
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649345075
—
UT
Enumeration date
11/21/2006
Last updated
01/29/2025
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