| Ihc Health Services Inc | |
|
324 E 10th Ave Ste 178 Salt Lake City UT 84103-2885 | |
| (801) 408-8502 | |
| Not Available |
| Full Name | Ihc Health Services Inc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 324 E 10th Ave Ste 178, Salt Lake City, Utah |
| Authorized Official Name and Position | Mark Briesacher (SVP-CHIEF PHYS EXEC/PRES-IMGROUP) |
| Authorized Official Contact | 8014423495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ihc Health Services Inc Po Box 27128 Salt Lake City UT 84127-0128 Ph: (801) 408-8502 | Ihc Health Services Inc 324 E 10th Ave Ste 178 Salt Lake City UT 84103-2885 Ph: (801) 408-8502 |
| NPI Number | 1922570266 |
|---|---|
| Provider Enumeration Date | 12/27/2018 |
| Last Update Date | 12/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922570266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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