| Altium Health Llc | |
|
7181 S Campus View Dr West Jordan UT 84084-4312 | |
| (425) 890-4777 | |
| Not Available |
| Full Name | Altium Health Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 7181 S Campus View Dr, West Jordan, Utah |
| Authorized Official Name and Position | Siamak Khadjenoury (CEO) |
| Authorized Official Contact | 8016139843 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Altium Health Llc 7181 S Campus View Dr Ste 1a West Jordan UT 84084-4312 Ph: () - | Altium Health Llc 7181 S Campus View Dr West Jordan UT 84084-4312 Ph: (425) 890-4777 |
| NPI Number | 1235787870 |
|---|---|
| Provider Enumeration Date | 08/27/2019 |
| Last Update Date | 05/16/2023 |
| Certification Date | 05/16/2023 |
| Medicare PECOS PAC ID | 8729495692 |
|---|---|
| Medicare Enrollment ID | O20210322002445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235787870 | NPI | - | NPPES |
| Provider Name | Joel Wallace Hanson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619076205 PECOS PAC ID: 8820998149 Enrollment ID: I20040112000512 |
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