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  • 461503
CCN: 461503 NPI: 1720153711 Organization

INTERMOUNTAIN HOMECARE HOSPICE SALT LAKE

11520 S REDWOOD ROAD
SOUTH JORDAN, UT 84095

Contact Information

  • Phone 3858876000
  • Fax 8014420603
  • Enumeration Date 2006-11-22
  • Last Updated 2025-01-29

Taxonomies

  • Code: 251G00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 6
cbsaActualGeographicLocation 41620
providerType 35
censusDivision 6
cbsaActualGeographicLocation 41620
providerType 35
censusDivision 6
cbsaActualGeographicLocation 41620
providerType 35
censusDivision 0
cbsaActualGeographicLocation 41620
providerType 35
censusDivision 0
cbsaActualGeographicLocation 41620
providerType 35
censusDivision 0
cbsaActualGeographicLocation 41620
providerType 35
censusDivision 0
cbsaActualGeographicLocation 41620
providerType 35
censusDivision 0
cbsaActualGeographicLocation 41620
providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 41620
providerType 35
specialPaymentIndicator
carrierCode 03502
localityCode 09
cbsaActualGeographicLocation 41620
providerType 35
operatingCostToChargeRatio 1.0
specialPaymentIndicator
carrierCode 03502
localityCode 09
cbsaActualGeographicLocation 41620
providerType 35
operatingCostToChargeRatio 1.0
specialPaymentIndicator
carrierCode 03502
localityCode 09
cbsaActualGeographicLocation 41620
providerType 35
operatingCostToChargeRatio 1.0
specialPaymentIndicator
carrierCode 03502
localityCode 09
cbsaActualGeographicLocation 41620
providerType 35
operatingCostToChargeRatio 1.0
specialPaymentIndicator
carrierCode 03502
localityCode 09

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