REVERE HEALTH
NPI 1316330749
Non-Pharmacy Dispensing Site in Provo, UT

Active since March 10, 2015
1055 N 500 W STE 202, PROVO, UT 84604(801) 374-2367(801) 429-8015 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 16, 2018, Mar 7, 2018, Aug 14, 2017 and 3 more (6 updates tracked since 2017).

About Revere Health NPPES

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

REVERE HEALTH (NPI 1316330749) is a healthcare organization registered as a non-pharmacy dispensing site in Provo, Utah and active in the NPI registry since March 2015. The organization lists Jed Harston, Director Of Managed Care, as its authorized official.

NPPES Registry Identity

NPI1316330749
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameCENTRAL UTAH CLINIC, P.C.
Location Address1055 N 500 W STE 202Provo, UT 84604-3305
Mailing Address1055 N 500 W, Attn: CredentialingProvo, UT 84604-3305 · (801) 354-8225 · Fax (801) 418-0941
Fax(801) 429-8015
Organization SubpartNo
Authorized OfficialJed HarstonDirector Of Managed Care · (801) 812-5012
Enumeration DateMarch 10, 2015
Last NPPES UpdateJune 16, 20186 updates tracked since enumeration
NPI 1316330749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License Licensed in UT · 9847128-1725
Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

1055 N 500 W STE 202, Provo, UT 84604

Other Names 3

Doing Business AsRevere Health
Other NameOncology Dispensing Medical Practice
Other NameOncology Pharmacy

Accepted Insurance

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
1055 N 500 W STE 202
PROVO, UT 84604
Internal Medicine (Hematology & Oncology)
1055 N 500 W STE 202
PROVO, UT 84604
Nurse Practitioner (Family)
1055 N 500 W STE 202
PROVO, UT 84604
Nurse Practitioner
1055 N 500 W STE 202
PROVO, UT 84604
Nurse Practitioner
1055 N 500 W STE 202
PROVO, UT 84604

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 Central Utah Clinic, P.C.'s NPI number?

The NPI number for Central Utah Clinic, P.C. is 1316330749. It was assigned to this organization in the NPPES registry on March 10, 2015. The provider is doing business as Revere Health. The provider is also known as Oncology Dispensing Medical Practice and Oncology Pharmacy.

Where is Central Utah Clinic, P.C. located?

Central Utah Clinic, P.C. is located at 1055 N 500 W Ste 202, Provo, UT 84604. The listed phone number is (801) 374-2367.

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

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

What insurance does Central Utah Clinic, P.C. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 32 other insurers list Central Utah Clinic, P.C. 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 Central Utah Clinic, P.C. was last updated on June 16, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.