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NPI Code Detail

MEDICARE: SLEEPWELL PARTNERS, LLC

MEDICARE: SLEEPWELL PARTNERS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QS1200XSleep Disorder Diagnostic Clinic/Center

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00417312OTHERUTMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
145940000002001OTHERUTBLUESHIELD
3293382OTHERUTALTIUS

General Provider Information

NPI Number : 1942206370
Entity Type Code : Organization
Provider Name (Legal Business Name) : SLEEPWELL PARTNERS, LLC
Provider Business Mailing Address
First Line : 615 W. CARMEL DR.
Second Line : SUITE 100
City : CARMEL
State : IN
Zip : 46032-5504
Country : US
Telephone Number : 317-706-1080
Fax Number : 317-574-8674
Provider Business Practice Location Address
First Line : 613 FORT UNION BLVD
Second Line : STE 102-A
City : MIDVALE
State : UT
Zip : 84047-5531
Country : US
Telephone Number : 801-523-7533
Fax Number : 801-523-3707
Authorized Official
Title or Position : PRESIDENT/COO
Name : MR. JAY JARRELL
Credential :
Telephone Number : 317-706-1080
Provider Enumeration Date : 06/21/2005
Last Update Date : 08/10/2010

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Directions to “SLEEPWELL PARTNERS, LLC ” Practice Location

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