Revere Health

LBN: Central Utah Clinic, P.C.
Revere Health is an health care organization with primary practice located at 1175 E 50 S , American Fork UT 84003-0000. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Central Utah Clinic, P.C. can be contacted via phone (801) 429-8000, or through Harston, Jed Bradley via phone (801) 812-5012.

Contact Information

Primary practice address
1175 E 50 S American Fork UT 84003-0000
Phone: (801) 429-8000
Fax: (801) 429-8150
Website:
Map and Directions
Authorized official contact:
Name: Harston, Jed Bradley
Phone: (801) 812-5012

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1144439068
LBN Legal business name Central Utah Clinic, P.C.
DBA Doing business as Revere Health
Authorized official Harston, Jed Bradley
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2007
Last updated Mar 7th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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