Individual
MARVON SHANE HOLDAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CM
Contact information
Practice address
265 N STATE ST, MOUNT PLEASANT, UT 84647-1108
(435) 462-2781
(435) 462-0155
Mailing address
PO BOX 31, MT PLEASANT, UT 84647-0031
(435) 462-2781
(435) 462-0155
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HT007021-001
—
UT
Enumeration date
07/15/2022
Last updated
07/18/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us