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 , Midvale UT 84047-4860. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Mail Order Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Mail Order Pharmacy is the primary health care specialty. Ihc Health Services Inc can be contacted via phone (855) 779-3960, or through Berensen, Nannette Mignon via phone (801) 507-8002.

Contact Information

Primary practice address
7268 S Bingham Junction Blvd Midvale UT 84047-4860
Phone: (855) 779-3960
Fax: (801) 442-4179
Website:
Map and Directions
Authorized official contact:
Name: Berensen, Nannette Mignon
Phone: (801) 507-8002

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Mail Order Pharmacy 3336M0002X 8858671-1703 Utah
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1508119918
LBN Legal business name Ihc Health Services Inc
DBA Doing business as Intermountain Home Delivery Pharmacy
Authorized official Berensen, Nannette Mignon
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 23rd, 2012
Last updated May 29th, 2024 - about 4 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508119918 NPPES
Utah MEDICAID 1508119918
Utah MEDICAID 1508119918
Utah Other 2137364

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