CENTRAL UTAH CLINIC P.C. NPI 1023251204

NPI Information

CENTRAL UTAH CLINIC, P.C. is a multi-specialty clinic center in Lehi, UT. CENTRAL UTAH CLINIC, P.C. NPI is 1023251204. The provider is registered as an organization entity type.
The provider Is Doing Business As Revere Health.

The provider's business location address is:

3000 N TRIUMPH BLVD STE 100
LEHI, UT
ZIP 84043-999
Phone: (801) 429-8000

The provider's authorized official is Jed Harston .
The authorized official title is Director Of Managed Care and has the following contact phone number (801) 812-5012.

The CLIA number assigned to this NPI record is 46D2019551 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/17/2009 and was last updated on 1/13/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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