Ihc Health Services INC

NPI #1891810867 in Midvale, Utah

Provider Information

NPI Number: 1891810867
Entity Type: Organization
Organization Name: Ihc Health Services INC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Mar 20, 2007
Last Updated: Dec 3, 2013

Practice Location

Address: 1225 FORT UNION BLVD
Address 2: SUITE 215
City: Midvale
State: Utah
ZIP Code: 84047-1889
Phone: (801) 442-1400

Authorized Official

Name: CHRISTINE J. JOHNSON
Title: MANAGER, PROVIDER ENROLLMENT
Phone: (801) 442-3156

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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