Organization
CUSTOMPP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW HUTERA (OWNER)
(765) 463-2600
Entity
Organization
Contact information
Practice address
482 W NAVAJO ST STE A, WEST LAFAYETTE, IN 47906-1940
(765) 463-2600
(765) 463-2601
Mailing address
482 W NAVAJO ST STE A, WEST LAFAYETTE, IN 47906-1940
(765) 463-2600
(765) 463-2601
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
60006301A
IN
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2135170
PK
—
05
—
300033680
—
IN
Enumeration date
03/28/2012
Last updated
05/25/2022
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