CENTRAL UTAH CLINIC P.C. NPI 1295829281

NPI Information

CENTRAL UTAH CLINIC, P.C. is a family medicine in St George, UT. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CENTRAL UTAH CLINIC, P.C. NPI is 1295829281. 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:

736 S 900 E STE 203
ST GEORGE, UT
ZIP 84790-003
Phone: (435) 673-6131
Fax: (435) 673-8557

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 46D0955730 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2006 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:

Other Identifiers

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

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