Revere Health

LBN: Central Utah Clinic, P.C.
Revere Health is an health care organization with primary practice located at 2825 E Mall Dr , St George UT 84790-1954. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Central Utah Clinic, P.C. can be contacted via phone (435) 628-9393, or through Harston, Jed via phone (801) 812-5012.

Contact Information

Primary practice address
2825 E Mall Dr St George UT 84790-1954
Phone: (435) 628-9393
Fax: (435) 628-9382
Website:
Map and Directions
Authorized official contact:
Name: Harston, Jed
Phone: (801) 812-5012

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X Utah

Profile Details

NPI number 1760752943
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 Jan 5th, 2012
Last updated May 27th, 2021 - about 3 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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