Intermountain Home Delivery Pharmacy
LBN: Ihc Health Services Inc
Intermountain Home Delivery Pharmacy is an health care organization with primary practice located at 7268 S Bingham Junction Blvd Ste B1 , Midvale UT 84047-4860. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Specialty Pharmacy is the primary health care specialty.
Ihc Health Services Inc can be contacted via phone (801) 284-1114, or through Berensen, Nannette via phone (801) 284-1005.
Contact Information
Primary practice address
7268 S Bingham Junction Blvd Ste B1
Midvale UT 84047-4860
Phone: (801) 284-1114
Fax: (801) 284-1115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1093130031 |
|---|---|
| LBN Legal business name | Ihc Health Services Inc |
| DBA Doing business as | Intermountain Home Delivery Pharmacy |
| Authorized official | Berensen, Nannette |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Feb 27th, 2014 |
| Last updated | May 29th, 2024 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093130031 | NPPES |
| Idaho | MEDICAID | 1093130031 | |
| Idaho | MEDICAID | 1093130031 | |
| Idaho | Other | 2144451 |
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