NPIMap

Organization Active NPI

Premier Wound Solutions Ut LLC

  • Multi-Specialty Clinic/Center
  • Salt Lake City, UT
National Provider Identifier
1144927336
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PREMIER WOUND SOLUTIONS UT LLC
Doing business as
Premier Wound Solutions UT LLC
Practice address
159 W Broadway Ste 200
Salt Lake City, UT 84101-1923
Phone
(877) 223-8007
NPI assigned
Feb 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Pete Simmons
Title
Authorized Offical
Phone
(877) 223-8007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

159 W Broadway Ste 200
Salt Lake City, UT 84101-1923

Mailing address

3340 N 16TH Ave Ste 200
Phoenix, AZ 85015-5834
Phone (602) 441-2808

Other names 1

  • Premier Wound Solutions UT LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1501 Baldy Ave
#I
Pocatello, ID 83201

408 W Main St
Rexburg, ID 83440
Phone (208) 356-5656

1828 Bridgeview Blvd
Ste 2
Twin Falls, ID 83301

1803 Park View Dr
Twin Falls, ID 83301

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1144927336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 N 16TH AVE STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850155834",
            "telephone_number": "602-441-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 W BROADWAY STE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841011923",
            "telephone_number": "877-223-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER WOUND SOLUTIONS UT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "PETE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICAL",
        "authorized_official_telephone_number": "877-223-8007"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Wound Solutions UT LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier Wound Solutions UT LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.