Ihc Health Services INC
Family Medicine in Brigham City, UT. Organization (NPI-2).
NPI number1790169654
StatusActive
Last updated in NPPESJul 10, 2015
Details
- NPI
- 1790169654
- Entity type
- Organization (NPI-2)
- Legal business name
- Ihc Health Services INC
- Organization subpart
- No
- Enumeration date
- Jul 10, 2015
- Last updated
- Jul 10, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Box Elder Clinic (Doing Business As)
Practice location
1050 S 500 WBrigham City, UT 84302-4715
Phone 435-695-2700
Mailing address
Po Box 27128Salt Lake City, UT 84127-0128
Phone 801-442-3631
Authorized official
Linda C Leckman
Ceo Intermountain Medical Group
8014423974
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