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CAH461303-00 IHC Health Services INC dba INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL (Active)
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Main Details
Name
IHC Health Services INC dba INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH461303-00
Medicare Provider Number
461303
Additional Details
Current Program Status
Active
Registration Date
7/11/2014
Participating Start Date
10/1/2014
Participating Approval Date
8/12/2014
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Intermountain Healthcare
Aaron Wood, CEO/Administrator-Sanpete
(435) 462-4123
Primary Contact
IHC Health Services, Inc.
Kevin Forbush, 340B Program Director
(385) 429-2887
Addresses
Street Address
1100 SOUTH MEDICAL DRIVE
MT. PLEASANT, UT 84647
Billing Address
IHC Health Services INC dba INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL
PO Box 30184
Salt Lake City, UT 84130
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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