Revere Health

LBN: Central Utah Clinic, P.C.
Revere Health is an health care organization with primary practice located at 1055 N 500 W Ste 202 , Provo UT 84604-3305. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Central Utah Clinic, P.C. can be contacted via phone (801) 374-2367, or through Harston, Jed via phone (801) 812-5012.

Contact Information

Primary practice address
1055 N 500 W Ste 202 Provo UT 84604-3305
Phone: (801) 374-2367
Fax: (801) 429-8015
Website:
Map and Directions
Authorized official contact:
Name: Harston, Jed
Phone: (801) 812-5012

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X 9847128-1725 Utah

Profile Details

NPI number 1316330749
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 Mar 10th, 2015
Last updated Jun 16th, 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.

Request for update

Popular Providers