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CENTRAL UTAH CLINIC P.C. NPI 1437341427


NPI Information

NPI: 1437341427
Provider Name: CENTRAL UTAH CLINIC, P.C.

Doing Business As: REVERE HEALTH

Classification: Radiologic Technologist - 2471R0002X
Entity Type: Organization

Specialization: Radiation Therapy

Address:
1055 N 500 W
SUITE 102
PROVO, UT
ZIP 84604
Phone: (801) 374-2367
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CENTRAL UTAH CLINIC, P.C. is a radiation therapy radiologic technologist in Provo, UT. The provider is a radiologic technologist who specializes in radiation therapy and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy, in administration of radiation therapy, exam techniques, equipment protocols, radiation safety, and patient care. CENTRAL UTAH CLINIC, P.C. NPI is 1437341427. 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:

1055 N 500 W
SUITE 102
PROVO, UT
ZIP 84604-305
Phone: (801) 374-2367
Fax: (801) 429-0600

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 enumeration date for this NPI number is 8/14/2007 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
12471R0002XRadiologic TechnologistRadiation TherapyYes

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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