TOOELE CLINIC CORP
NPI 1073512364
Family Medicine in Tooele, UT
About Tooele Clinic Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TOOELE CLINIC CORP (NPI 1073512364) is a healthcare organization registered as a family medicine in Tooele, Utah and active in the NPI registry since July 2005. The organization holds 7 active CLIA laboratory certificates and lists Laura J Fey, Sr. Director Physician Rev Cycle, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 9
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tooele Clinic Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
98Medicare enrollment records show 98 clinicians reassign Medicare billing to Tooele Clinic Corp, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 23 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 17
Nearest to this location (20)
See all 98Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 9
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 46D1089953
Tooele Clinic Corp · Tooele, UTCertificate of Waiver 46D2144386
Tooele Clinic Corp · Tooele, UTCertificate of Waiver 46D2249922
Tooele Clinic Corp · Tooele, UTCertificate of Waiver 46D1043648
Tooele Clinic Corp · Tooele, UTCertificate of Waiver 46D2288158
Tooele Clinic Corp · Tooele, UTCertificate of Waiver 46D2223214
Tooele Clinic - Family Medicine · Tooele, UTFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tooele Clinic Corp's NPI number?
The NPI number for Tooele Clinic Corp is 1073512364. It was assigned to this organization in the NPPES registry on July 19, 2005.
Where is Tooele Clinic Corp located?
Tooele Clinic Corp is located at 1887 Aaron Dr Ste B, Tooele, UT 84074. The listed phone number is (435) 775-9973.
What is Tooele Clinic Corp's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Tooele Clinic Corp enrolled in Medicare?
Yes. Tooele Clinic Corp is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tooele Clinic Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 98 clinicians in 17 Medicare specialties reassign their Medicare billing to Tooele Clinic Corp. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (27), Cardiovascular Disease (Cardiology) (15) and Hospitalist (12). Of these, 2 practice at this address and 23 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Tooele Clinic Corp hold CLIA laboratory certificates?
Yes. 7 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Tooele Clinic Corp accept?
Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Tooele Clinic Corp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Tooele Clinic Corp was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tooele Clinic Corp · NPI 1073512364
Family Medicine organization in Tooele, Utah. Organization record, active in the CMS NPPES registry since July 19, 2005.
## Identity
- **NPI:** 1073512364 (Entity type: Organization)
- **Enumerated:** July 19, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Laura Fey, SR. DIRECTOR PHYSICIAN REV CYCLE
## Practice location
- **Address:** 1887 AARON DR STE B, Tooele, UT 84074-8138
- **Phone:** (435) 775-9973 · **Fax:** (435) 775-9985
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 98 clinicians in 17 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (27), Cardiovascular Disease (Cardiology) (15), Hospitalist (12); 2 practice at this address and 23 within 10 miles; [full list](https://npiprofile.com/npi/1073512364/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 29, 2025
- **Other identifiers:** Medicaid 1073512364 (UT)
- **CLIA laboratory certificates:** 9 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073512364) · Data from the CMS NPPES public registry.