Organization
MOUNTAIN WEST MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW SRITHIEMTHONG (CEO)
(801) 603-4864
Entity
Organization
Contact information
Practice address
922 W BAXTER DR STE 110, SOUTH JORDAN, UT 84095-8626
(385) 281-9846
Mailing address
922 W BAXTER DR STE 110, SOUTH JORDAN, UT 84095-8626
(385) 281-9846
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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