Provider Demographics
NPI:1407359078
Name:IHC HEALTH SERVICES INC
Entity Type:Organization
Organization Name:IHC HEALTH SERVICES INC
Other - Org Name:UVH LIVE WELL CENTER - UTAH VALLEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FINANCE VP-REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAGHEAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-525-6052
Mailing Address - Street 1:PO BOX 27128
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84127-0128
Mailing Address - Country:US
Mailing Address - Phone:801-357-4141
Mailing Address - Fax:
Practice Address - Street 1:395 W COUGAR BLVD STE 403
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604-3338
Practice Address - Country:US
Practice Address - Phone:801-357-4141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-09
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center