Organization
CHOICE MEDICAL HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN GRIGGS (CEO)
(407) 206-0040
Entity
Organization
Contact information
Practice address
56 E BROADWAY STE 600, SALT LAKE CITY, UT 84111-2211
(801) 386-5806
(801) 904-3916
Mailing address
220 W GERMANTOWN PIKE STE 250, PLYMOUTH MEETING, PA 19462-1437
(410) 409-8741
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
203-000470
IL
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
8174000-1714
UT
332BC3200X
Customized Equipment (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026548900
—
MD
05
—
1025841900
—
NE
05
—
117529
—
AL
05
—
1730163981
—
MO
05
—
1730163981
—
UT
05
—
1730163981
—
VA
05
—
1730163981
—
WA
05
—
1730163981
—
WI
05
—
1730163981/MCS008004
—
CT
05
—
2002587470A
—
OK
05
—
200497500A
—
IN
05
—
200656190A
—
KS
05
—
260053974-00
—
OH
05
—
3144823
—
NY
05
—
3810017856
—
WV
05
—
428882
—
AZ
05
—
4800352
—
MI
05
—
7100107510
—
KY
05
—
722389
—
IA
05
—
7657000
—
MN
Enumeration date
12/01/2005
Last updated
04/28/2021
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