Organization
IHC HEALTH SERVICES, INC
Active
Other names
Intermountain South Ogden
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL T VAN WAGENEN (DIRECTOR OF OPERATIONS)
(801) 387-3470
Entity
Organization
Contact information
Practice address
975 CHAMBERS ST, SOUTH OGDEN, UT 84403-4591
(801) 387-6200
(801) 387-6234
Mailing address
975 CHAMBERS ST, SOUTH OGDEN, UT 84403-4591
(801) 387-6200
(801) 387-6234
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
Other
Enumeration date
06/11/2006
Last updated
09/11/2025
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