Provider Demographics
NPI:1376314161
Name:ASSERTAHEALTH INC.
Entity Type:Organization
Organization Name:ASSERTAHEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CTO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:HERSOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-805-3012
Mailing Address - Street 1:PO BOX 95626
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84095-0626
Mailing Address - Country:US
Mailing Address - Phone:612-805-3012
Mailing Address - Fax:
Practice Address - Street 1:10421 S JORDAN GTWY STE 560
Practice Address - Street 2:
Practice Address - City:SOUTH JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84095-3903
Practice Address - Country:US
Practice Address - Phone:612-805-3012
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management