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IHC HEALTH SERVICES, INC.
SCH460026-01 IHC HEALTH SERVICES, INC. DBA: Intermountain Health SEVIER VALLEY HOSPITAL
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Covered Entity Details
Entity Name
IHC HEALTH SERVICES, INC. DBA: Intermountain Health SEVIER VALLEY HOSPITAL
Subdivision Name
Sevier Valley Dialysis Center - Dialysis Clinic
Type
Sole Community Hospital
340B ID
SCH460026-01
Entity Address
81 East 900 North
Richfield, UT 84701
Medicare Provider Number
460026
Outpatient Facility Provider Number
Participating Start Date
7/1/2019
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
IHC HEALTH SERVICES, INC.
Pharmacy Address
DBA: INTERMOUNTAIN PHARMACY #142
530 N 250 W
SALINA, UT 84654-5514
Pharmacy Comments
Contract Details
Approval Date
5/8/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/14/2021
Agreement registered in error
Contacts
Covered Entity Signing Official
CHRIS THOMPSON, C.F.O
(435) 893-0535
Contract Pharmacy Representative
Intermountain Healthcare
Buck Stanford, Pharmacy Operations Dir-System
(801) 284-1005
Signed By Date
4/15/2019
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