Organization
PRECISION HEALTH SERVICES, INC.
Active
Other names
PRECISION HOME MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STUART B CANNON BS MBA (CHEIF EXECUTIVE OFFICER)
(801) 266-0399
Entity
Organization
Contact information
Practice address
4885 S 900 E STE 107, SALT LAKE CITY, UT 84117-3905
(801) 266-0399
Mailing address
4885 S 900 E STE 107, SALT LAKE CITY, UT 84117-3905
(801) 266-0399
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2679333501
UT
174400000X
Specialist
357997-1205
UT
174400000X
Specialist
357997-8905
UT
225100000X
Physical Therapist
58049572401
UT
227800000X
Certified Respiratory Therapist
112389-5701
UT
227800000X
Certified Respiratory Therapist
49883845701
UT
235Z00000X
Speech-Language Pathologist
1123864102
UT
302F00000X
Exclusive Provider Organization
44447
UT
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
60051260151
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103007426101
IHC PROVIDER ID NUMBER
UT
01
—
44447000001001
BLUE CROSS PROVIDER NUMBE
UT
01
—
61101
HUMANA
UT
01
—
73301
PEHP PROVIDER NUMBER
UT
01
—
781709
DESERT MUTUAL BENEFITS AD
UT
01
—
P00291261
RR MEDICARE
UT
01
—
QM0000064662
ALTIUS PROVIDER NUMBER
UT
Enumeration date
09/25/2006
Last updated
10/31/2008
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