Revere Health

LBN: Central Utah Clinic, P.C.
Revere Health is an health care organization with primary practice located at 736 S 900 E Ste 203 , St George UT 84790-7003. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Central Utah Clinic, P.C. can be contacted via phone (435) 673-6131, or through Harston, Jed via phone (801) 812-5012.

Contact Information

Primary practice address
736 S 900 E Ste 203 St George UT 84790-7003
Phone: (435) 673-6131
Fax: (435) 673-8557
Website:
Map and Directions
Authorized official contact:
Name: Harston, Jed
Phone: (801) 812-5012

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Utah

Profile Details

NPI number 1295829281
LBN Legal business name Central Utah Clinic, P.C.
DBA Doing business as Revere Health
Authorized official Harston, Jed
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1295829281 NPPES
Utah Other 46D0525920 CLIA NUMBER

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