Organization
IHC HEALTH SERVICES INC
Active
Other names
Intermountain Health Hospice Richfield, Intermountain Health Hospice Salt Lake, Intermountain Health Hospice Mt. Pleasant, Intermountain Health Hospice Fillmore, Intermountain Health Hospice Provo, Intermountain Health Hospice Heber City, Intermountain Health Hospice Ogden
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
11520 S REDWOOD ROAD, SOUTH JORDAN, UT 84095
(385) 887-6000
(801) 442-0603
Mailing address
11520 S REDWOOD ROAD, SOUTH JORDAN, UT 84095
(385) 887-6000
(801) 442-0603
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720153711
—
UT
Enumeration date
11/22/2006
Last updated
01/29/2025
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