Provider Demographics
NPI:1114357944
Name:PREMIER SLEEP SOLUTIONS LLC
Entity Type:Organization
Organization Name:PREMIER SLEEP SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WESTERN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-821-2596
Mailing Address - Street 1:75 S 100 E STE 1E
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-3469
Mailing Address - Country:US
Mailing Address - Phone:801-821-2596
Mailing Address - Fax:801-821-2598
Practice Address - Street 1:7138 S HIGHLAND DR STE 215
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84121-3784
Practice Address - Country:US
Practice Address - Phone:801-821-2596
Practice Address - Fax:801-821-2598
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PREMIER SLEEP SOLUTIONS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-11-14
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
7090950001Medicare NSC