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CENTRAL UTAH CLINIC P.C. NPI 1780017954


NPI Information

NPI: 1780017954
Provider Name: CENTRAL UTAH CLINIC, P.C.

Doing Business As: REVERE HEALTH

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization

CLIA Number: 46D2024621

Address:
700 W 800 N STE 100
OREM, UT
ZIP 84057
Phone: (801) 373-7350
Get Directions

CENTRAL UTAH CLINIC, P.C. is an orthopaedic surgery in Orem, 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 1780017954. 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:

700 W 800 N STE 100
OREM, UT
ZIP 84057-302
Phone: (801) 373-7350
Fax: (801) 224-5337

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 46D2024621 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/12/2013 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

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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