Organization
IHC HEALTH SERVICES INC
Active
Other names
Intermountain Health Home Medical Equipment 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 STREET, MT. PLEASANT, UT 84647-1328
(435) 462-3431
Mailing address
11520 S REDWOOD RD, SOUTH JORDAN, UT 84095-7805
(385) 887-6000
(801) 887-6555
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780814111
—
UT
Enumeration date
07/20/2009
Last updated
01/29/2025
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