JORDAN MEADOWS MEDICAL CENTER
NPI 1194860569
Family Medicine in West Valley, UT

Active since February 21, 2007CLIA 46D0524403 · Waiver
3534 S 6000 W, WEST VALLEY, UT 84128(801) 969-6264(801) 969-6333 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jordan Meadows Medical Center NPPES

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

JORDAN MEADOWS MEDICAL CENTER (NPI 1194860569) is a healthcare organization registered as a family medicine in West Valley, Utah and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through January 7, 2028 and lists Fred M Civish, President, as its authorized official.

NPPES Registry Identity

NPI1194860569
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHUNTER MEDICAL CENTER, INC
Location Address3534 S 6000 WWest Valley, UT 84128-2610
Mailing Address3534 S 6000 WWest Valley, UT 84128-2610 · (801) 969-6264 · Fax (801) 969-6333
Fax(801) 969-6333
Organization SubpartNo
Authorized OfficialFred M CivishPresident · (801) 969-6264
Enumeration DateFebruary 21, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1194860569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in UT · 184916-1205
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3534 S 6000 W, West Valley, UT 84128

Other Names 1

Doing Business AsJordan Meadows Medical Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Jordan Meadows Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Jordan Meadows Medical Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 11 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nurse Practitioner10
Family Practice1

Clinicians, nearest first (11)

Nurse Practitioner
NPI 1114638038
3534 S 6000 W
West Valley, UT 84128
(801) 969-6264
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1538948377
3534 S 6000 W
West Valley, UT 84128
(801) 658-6904
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1548829336
3534 S 6000 W
West Valley City, UT 84128
(801) 969-6264
✔ PECOS✔ Accepts Medicare2.5 mi
Nurse Practitioner
NPI 1407445950
3336 S PIONEER PKWY
West Valley City, UT 84120
(801) 964-8726
✔ PECOS2.8 mi
Nurse Practitioner
NPI 1477965275
3354 W 7800 S
West Jordan, UT 84088
(801) 282-2677
✔ PECOS✔ Accepts Medicare3.5 mi
Nurse Practitioner
NPI 1962562603
3354 W 7800 S
West Jordan, UT 84088
(801) 282-2677
✔ PECOS✔ Accepts Medicare3.5 mi
Nurse Practitioner
NPI 1932736758
3354 W 7800 S
West Jordan, UT 84088
(801) 282-2677
✔ PECOS3.5 mi
Nurse Practitioner
NPI 1225197379
3534 S 6000 W
Salt Lake City, UT 84128
(801) 969-6264
✔ PECOS✔ Accepts Medicare3.5 mi
Family Practice
NPI 1124137278
3534 S 6000 W
West Valley, UT 84128
(801) 969-6264
✔ PECOS✔ Accepts Medicare3.7 mi
Nurse Practitioner
NPI 1063721611
3354 W 7800 S
West Jordan, UT 84088
(801) 282-2677
✔ PECOS✔ Accepts Medicare5.0 mi
Nurse Practitioner
NPI 1952821753
1521 E 3900 S STE 100
Salt Lake City, UT 84124
(801) 268-3800
✔ PECOS8.0 mi

Source: 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

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 46D0524403

Hunter Medical Center, Inc - Frederic M Civish MD · West Valley City, UT
Active · expires Jan 7, 2028
CLIA Number46D0524403
Laboratory TypePhysician Office
Certificate Effective DateJanuary 8, 2026
Certificate Expiration DateJanuary 7, 2028
Laboratory DirectorFrederic M. Civish MD
Laboratory Phone(801) 969-6264
Laboratory LocationHunter Medical Center, Inc - Frederic M Civish MD3534 S 6000 W, West Valley City, UT 84128
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Hunter Medical Center, Inc's NPI number?

The NPI number for Hunter Medical Center, Inc is 1194860569. It was assigned to this organization in the NPPES registry on February 21, 2007. The provider is doing business as Jordan Meadows Medical Center.

Where is Hunter Medical Center, Inc located?

Hunter Medical Center, Inc is located at 3534 S 6000 W, West Valley, UT 84128. The listed phone number is (801) 969-6264.

What is Hunter Medical Center, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Hunter Medical Center, Inc enrolled in Medicare?

Yes. Hunter Medical Center, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hunter Medical Center, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 2 Medicare specialties reassign their Medicare billing to Hunter Medical Center, Inc. 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 (10) and Family Practice (1). Of these, 2 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Hunter Medical Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D0524403) is associated with this NPI, valid through January 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hunter Medical Center, Inc accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Hunter Medical Center, Inc 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 Hunter Medical Center, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.