Provider Demographics
NPI:1093526592
Name:STEADFAST HEALTH, INC.
Entity type:Organization
Organization Name:STEADFAST HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:GRANT
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:MCKINLEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:801-430-8534
Mailing Address - Street 1:500 ADAMS AVE
Mailing Address - Street 2:
Mailing Address - City:GLENCOE
Mailing Address - State:IL
Mailing Address - Zip Code:60022-1865
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5605 MORROW RD UNIT B
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-1932
Practice Address - Country:US
Practice Address - Phone:479-422-1581
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder