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CENTRAL UTAH CLINIC P.C. NPI 1134346976


NPI Information

NPI: 1134346976
Provider Name: CENTRAL UTAH CLINIC, P.C.

Doing Business As: REVERE HEALTH

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
1184 E 80 N
AMERICAN FORK, UT
ZIP 84003
Phone: (801) 763-3885
Get Directions

CENTRAL UTAH CLINIC, P.C. is an orthopaedic surgery in American Fork, UT. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. CENTRAL UTAH CLINIC, P.C. NPI is 1134346976. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Revere Health.

The provider's business location address is:

1184 E 80 N
AMERICAN FORK, UT
ZIP 84003-906
Phone: (801) 763-3885
Fax: (801) 763-3887

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

The enumeration date for this NPI number is 4/20/2007 and was last updated on 3/7/2018.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic SurgeryYes
22086S0122XSurgeryPlastic and Reconstructive SurgeryNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========000MEDICAIDUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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