| NPI | 1851715049 |
|---|---|
| Doing Business As | INTERMOUNTAIN HEALTH HOME MEDICAL EQUIPMENT SALT LAKE CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARK PROVAN VP Homecare Hospice Palliative Care 801-442-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2025-01-29 |