Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SKOUT SOURCE
Active
Organization
SKOUT SOURCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PETERSON (MANAGING MEMBER)
(949) 556-5377
Entity
Organization
Contact information
Practice address
6955 S UNION PARK CTR STE 200, COTTONWOOD HEIGHTS, UT 84047-6514
(877) 467-5688
Mailing address
6955 S UNION PARK CTR STE 200, COTTONWOOD HEIGHTS, UT 84047-6514
(877) 467-5688
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up