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HM84112 IHC HEALTH SERVICES, INC. (Active)
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Main Details
Name
IHC HEALTH SERVICES, INC.
Subdivision Name
Utah Center for Bleeding and Clotting Disorders
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM84112
Grant Number
H30MC24049
Additional Details
Current Program Status
Active
Registration Date
4/2/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/25/2018
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Primary Children's Hospital
Sidney Norton, Finance AVP - Pediatrics
(801) 662-6277
Primary Contact
IHC Health Services, Inc.
Kevin Forbush, 340B Program Director
(385) 429-2887
Addresses
Street Address
Sugar House Health Center, U of U Health
1280 East Stringham Avenue
Salt Lake City, UT 84106
Billing Address
IHC HEALTH SERVICES, INC, DBA Primary Children's Hospital (UCBCD at PCH)
100 N Mario Capecchi Dr.
Salt Lake City, UT 84113
Comments
Medicaid Billing
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