Organization
IHC HEALTH SERVICES INC
Active
Other names
Intermountain Health Home Medical Equipment Murray
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
154 E MYRTLE AVE STE 103, MURRAY, UT 84107-4850
(801) 507-9100
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
—
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649400573
—
UT
Enumeration date
07/27/2009
Last updated
01/29/2025
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