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IHC HEALTH SERVICES INC NPI 1093130031


NPI Information

NPI: 1093130031
Provider Name: IHC HEALTH SERVICES INC

Doing Business As: INTERMOUNTAIN SPECIALTY PHARMACY

Classification: Pharmacy - 3336S0011X
Entity Type: Organization

Specialization: Specialty Pharmacy

Address:
4393 S RIVERBOAT RD STE 101
TAYLORSVILLE, UT
ZIP 84123
Phone: (801) 284-1114
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IHC HEALTH SERVICES INC is a specialty pharmacy pharmacy in Taylorsville, UT. The provider is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. IHC HEALTH SERVICES INC NPI is 1093130031. The provider is registered as an organization entity type.
The provider Is Doing Business As Intermountain Specialty Pharmacy.

The provider's business location address is:

4393 S RIVERBOAT RD STE 101
TAYLORSVILLE, UT
ZIP 84123-503
Phone: (801) 284-1114
Fax: (801) 284-1115

The provider's authorized official is Nannette Berensen .
The authorized official title is Vice President Of Clinical Systems and has the following contact phone number (801) 284-1005.

The enumeration date for this NPI number is 2/27/2014 and was last updated on 7/19/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
33336S0011XPharmacySpecialty Pharmacy10126237-1703UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12144451OTHERPK
21093130031MEDICAIDIDAHO
31093130031MEDICAIDUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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