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CAH461307-00 IHC Health Services Inc. DBA Intermountain Health Heber Valley Hospital (Active)
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Main Details
Name
IHC Health Services Inc. DBA Intermountain Health Heber Valley Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH461307-00
Medicare Provider Number
461307
Additional Details
Current Program Status
Active
Registration Date
1/14/2013
Participating Start Date
4/1/2013
Participating Approval Date
1/22/2013
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Heber Valley Hospital
Jennilyn Ferry, Finance Director
(435) 658-6709
Primary Contact
IHC Health Services, Inc.
Kevin Forbush, 340B Program Director
(385) 429-2887
Addresses
Street Address
454 E Medical Way
Heber City, UT 84032
Billing Address
IHC Health Services Inc. DBA Intermountain Health Heber Valley Hospital
PO Box 30184
Salt Lake City, UT 84130
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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