IHC HEALTH SERVICES INC NPI 1104461060

NPI Information

NPI: 1104461060
Provider Name: IHC HEALTH SERVICES INC

Doing Business As: INTERMOUNTAIN DAYSPRING - LOGAN

Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
550 E 1400 N STE T
LOGAN, UT
ZIP 84341
Phone: (435) 716-1664
Get Directions

IHC HEALTH SERVICES INC is a methadone clinic center in Logan, UT. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. IHC HEALTH SERVICES INC NPI is 1104461060. The provider is registered as an organization entity type.
The provider Is Doing Business As Intermountain Dayspring - Logan.

The provider's business location address is:

550 E 1400 N STE T
LOGAN, UT
ZIP 84341-407
Phone: (435) 716-1664

The provider's authorized official is Mark Briesacher .
The authorized official title is Svp - Chief Phy Executive and has the following contact phone number (801) 442-3495.

The enumeration date for this NPI number is 11/14/2019 and was last updated on 11/24/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM2800X	Clinic/Center	Methadone			Yes

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

NPI Synchronization or Removal

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