REVERE HEALTH
NPI 1295829281
Family Medicine in St George, UT

Q: What is Central Utah Clinic, P.C.'s NPI number?

The NPI number for Central Utah Clinic, P.C. is 1295829281. It was assigned to this organization in the NPPES registry on October 3, 2006. The provider is doing business as Revere Health.

Q: What is Central Utah Clinic, P.C.'s specialty?

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

Active since October 03, 2006

736 S 900 E STE 203, ST GEORGE, UT 84790(435) 673-6131(435) 673-8557 Get Directions Write a Review

NPPES record last updated: March 7, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2018, Apr 19, 2017 (2 updates tracked since 2017).

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About Revere Health NPPES

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

REVERE HEALTH (NPI 1295829281) is a healthcare organization registered as a family medicine in St George, Utah and active in the NPI registry since October 2006. The organization lists Jed Harston, Director Of Managed Care, as its authorized official.

NPPES Registry Identity

NPI1295829281

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCENTRAL UTAH CLINIC, P.C.

Location Address736 S 900 E STE 203St George, UT 84790-7003

Mailing Address1055 N 500 W, Attn: CredentialingProvo, UT 84604-3305 · (801) 354-8225 · Fax (801) 418-0941

Phone(435) 673-6131

Fax(435) 673-8557

Organization SubpartNo

Authorized OfficialJed HarstonDirector Of Managed Care · (801) 812-5012

Enumeration DateOctober 3, 2006

Last NPPES UpdateMarch 7, 20182 updates tracked since enumeration

✔ NPI 1295829281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

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.

736 S 900 E STE 203, St George, UT 84790

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Other Names 1

Doing Business AsRevere Health

Other Identifiers 1

Other46D0525920UT · Clia Number

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

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 46D2219358

Revere Health St George Urgent Care · St George, UT

Expired · Jul 31, 2026

CLIA Number46D2219358

Laboratory TypePhysician Office

Certificate Effective DateFebruary 23, 2024

Certificate Expiration DateJuly 31, 2026

Laboratory DirectorSamantha L. Pellegrino

Laboratory Phone(435) 673-6131

Laboratory LocationRevere Health St George Urgent Care2825 East Mall Dr, St George, UT 84790

CLIA data matches this NPI record on: Name Phone

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 9

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

BRYSON J HOLLINGSHEAD DO

Family Medicine