340B Drug Pricing Program Database
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DSH460001M IHC Health Services, Inc. DBA: UTAH VALLEY HOSPITAL (Terminated)
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Main Details
Name
IHC Health Services, Inc. DBA: UTAH VALLEY HOSPITAL
Subdivision Name
Audiology Clinic - Audiology Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH460001M
Medicare Provider Number
460001
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/11/2018
Participating Start Date
4/1/2018
Participating Approval Date
1/19/2018
Last Recertification Date
8/26/2021
Termination Date
Termination Reason
4/1/2022
Business decision by the Covered Entity
Contacts
Authorizing Official
Intermountain Healthcare
Nathan Empey, Director of Finance
(801) 357-7049
Primary Contact
Intermountain Healthcare
Charles B. Stubbs, 340B Pharmacist
(801) 284-1113
Addresses
Street Address
395 Cougar Blvd (1230 North)
Provo, UT 84604
Billing Address
Utah Valley Hospital
1034 North 500 West
Provo, UT 84604
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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