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STAR VALLEY MEDICAL CENTER-CARDIOLOGY EP
NPI 1083091623
Internal Medicine - Clinical Cardiac Electrophysiology in Afton, WY

Active since May 04, 2015CLIA 53D0666137 · Certificate of Compliance

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 22, 2021, May 20, 2020, Dec 14, 2019 (3 updates tracked since 2019).

About Star Valley Medical Center-cardiology Ep NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STAR VALLEY MEDICAL CENTER-CARDIOLOGY EP (NPI 1083091623) is a healthcare organization registered as a clinical cardiac electrophysiology in Afton, Wyoming and active in the NPI registry since May 2015. The organization holds a CLIA Certificate of Compliance certificate valid through May 6, 2027 and lists Samuel Finlayson, Chief Clinical Officer, as its authorized official.

NPPES Registry Identity

NPI1083091623
Entity TypeOrganization
Primary Taxonomy207RC0001X
Legal Business NameUNIVERSITY OF UTAH ADULT SERVICES
Location Address901 ADAMS STAfton, WY 83110-9621
Mailing AddressPo Box 841450Los Angeles, CA 90084-1450 · (801) 213-3900
Phone(801) 581-2121
Organization SubpartYes
Authorized OfficialSamuel FinlaysonChief Clinical Officer · (801) 587-6336
Enumeration DateMay 4, 2015
Last NPPES UpdateJanuary 22, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2021
✔ NPI 1083091623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
Definition

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.

901 ADAMS ST, Afton, WY 83110
Open in Google Maps ↗

Other Names 1

Doing Business AsStar Valley Medical Center-cardiology Ep

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 Compliance 53D0666137

Star Valley Medical Center · Afton, WY
Active · expires May 6, 2027
CLIA Number53D0666137
Laboratory TypeHospital
Certificate Effective DateMay 7, 2025
Certificate Expiration DateMay 6, 2027
Laboratory DirectorMatt Tannenbaum
Laboratory Phone(307) 885-5828
Laboratory LocationStar Valley Medical Center901 Adams Street, Afton, WY 83110
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KORRY WHEELER PT, DPT, ECS
Physical Therapist
901 ADAMS ST
AFTON, WY 83110
Lincoln County (307) 883-7878
KELLI HANSEN LAT, ATC
Specialist/Technologist (Athletic Trainer)
901 ADAMS ST
AFTON, WY 83110
Lincoln County (307) 885-5800
TRICIA M MIEDEMA MD
Emergency Medicine
901 ADAMS ST
AFTON, WY 83110
Lincoln County (307) 885-5800
TROY BAILEY RD
Dietitian, Registered
901 ADAMS ST
AFTON, WY 83110
Lincoln County (307) 885-5932
AARON REED BROWN M.D.
Emergency Medicine
901 ADAMS ST
AFTON, WY 83110
Lincoln County (307) 885-5821
SARA PETTINELLI MD
Family Medicine
901 ADAMS ST
AFTON, WY 83110
Lincoln County (307) 885-5800
WILLIAM H KENNINGTON OT
Occupational Therapist
901 ADAMS ST
AFTON, WY 83110
Lincoln County (307) 885-7878
BROOKE CHASE YASGUR DO
Emergency Medicine
901 ADAMS ST
AFTON, WY 83110
Lincoln County (307) 885-5800

Frequently 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 University Of Utah Adult Services's NPI number?

The NPI number for University Of Utah Adult Services is 1083091623. It was assigned to this organization in the NPPES registry on May 4, 2015. The provider is doing business as Star Valley Medical Center-Cardiology Ep.

Where is University Of Utah Adult Services located?

University Of Utah Adult Services is located at 901 Adams St, Afton, WY 83110. The listed phone number is (801) 581-2121.

What is University Of Utah Adult Services's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Does University Of Utah Adult Services hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 53D0666137) is associated with this NPI, valid through May 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does University Of Utah Adult Services accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list University Of Utah Adult Services 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 University Of Utah Adult Services was last updated on January 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.