MID-VALLEY HEALTH CLINIC
NPI 1508299892
Clinic/Center in Midvale, UT

Active since August 09, 2013CLIA 46D2170147 · Waiver
8446 S HARRISON ST, MIDVALE, UT 84047(801) 417-0131(801) 250-3204 Get Directions Write a Review

NPPES record last updated: October 2, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mid-valley Health Clinic NPPES

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

MID-VALLEY HEALTH CLINIC (NPI 1508299892) is a healthcare organization registered as a clinic/center in Midvale, Utah and active in the NPI registry since August 2013. The organization holds a CLIA Waiver certificate valid through August 4, 2027 and lists Kurt Micka, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1508299892
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameUTAH PARTNERS FOR HEALTH
Location Address8446 S HARRISON STMidvale, UT 84047-3501
Mailing Address8446 S Harrison StMidvale, UT 84047-3501 · (801) 417-0131 · Fax (801) 250-3204
Fax(801) 250-3204
Organization SubpartNo
Authorized OfficialKurt MickaExecutive Director · (801) 417-0131
Enumeration DateAugust 9, 2013
Last NPPES UpdateOctober 2, 2013
✔ NPI 1508299892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
8446 S HARRISON ST, Midvale, UT 84047

Other Names 1

Doing Business AsMid-valley Health Clinic

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mid-valley Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateUtahEnrollment IDO20140715002286Part A · Federally Qualified Health Center (FQHC)Due dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Mid-Valley Health Clinic, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 6

Family Practice4
Nurse Practitioner3
Clinical Social Worker2
Clinical Psychologist1
Dentist1
Optometrist1

Clinicians, nearest first (12)

Nurse Practitioner
NPI 1366131799
8446 S HARRISON ST
Midvale, UT 84047
(801) 417-0131
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1255786976
8446 S HARRISON ST
Midvale, UT 84047
(801) 417-0131
✔ PECOSSame address
Family Practice
NPI 1861437113
8446 S HARRISON ST
Midvale, UT 84047
(801) 417-0131
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1316491327
8446 S HARRISON ST
Midvale, UT 84047
(801) 417-0131
✔ PECOSSame address
Clinical Social Worker
NPI 1396180386
7651 S MAIN ST
Midvale, UT 84047
(801) 417-0131
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1144994344
9103 S 1300 W STE 102
West Jordan, UT 84088
(801) 417-0131
✔ PECOS1.5 mi
Optometrist
NPI 1821135492
9103 S 1300 W STE 102
West Jordan, UT 84088
(801) 417-0131
✔ PECOS1.5 mi
Dentist
NPI 1437698750
10894 SO. RIVER FRONT PARKWAY
South Jordan, UT 84095
(208) 360-1169
✔ PECOS4.1 mi
Family Practice
NPI 1427035187
1365 W 1000 N
Salt Lake City, UT 84116
(801) 328-5750
✔ PECOS5.9 mi
Clinical Social Worker
NPI 1366940066
415 MEDICAL DR STE 100
Bountiful, UT 84010
(801) 683-1062
✔ PECOS20 mi
Family Practice
NPI 1902255847
CORNER OF ROUTE N12 AND N7
Fort Defiance, AZ 86504
(928) 729-8000
✔ PECOS✔ Accepts Medicare368 mi
Family Practice
NPI 1427085711
1408 19TH AVE.
Fairbanks, AK 99701
(907) 451-6682
✔ PECOS2,195 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 46D2170147

Utah Partners For Health · West Jordan, UT
Active · expires Aug 4, 2027
CLIA Number46D2170147
Laboratory TypePhysician Office
Certificate Effective DateAugust 5, 2025
Certificate Expiration DateAugust 4, 2027
Laboratory DirectorKandi V. Winsor
Laboratory Phone(801) 417-0131
Laboratory LocationUtah Partners For Health9103 S 1300 W, Suite 102, West Jordan, UT 84088
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 Utah Partners For Health's NPI number?

The NPI number for Utah Partners For Health is 1508299892. It was assigned to this organization in the NPPES registry on August 9, 2013. The provider is doing business as Mid-Valley Health Clinic.

Where is Utah Partners For Health located?

Utah Partners For Health is located at 8446 S Harrison St, Midvale, UT 84047. The listed phone number is (801) 417-0131.

What is Utah Partners For Health's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Utah Partners For Health enrolled in Medicare?

Yes. Utah Partners For Health is registered in the Medicare PECOS enrollment system.

When is Utah Partners For Health's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Utah, Federally Qualified Health Center (FQHC)) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Utah Partners For Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 6 Medicare specialties reassign their Medicare billing to Utah Partners For Health. 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 Family Practice (4), Nurse Practitioner (3) and Clinical Social Worker (2). Of these, 4 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Utah Partners For Health hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2170147) is associated with this NPI, valid through August 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Utah Partners For Health accept?

Health plans from Anthem Blue Cross and Blue Shield, Molina Healthcare and University of Utah Health Plans list Utah Partners For Health 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 Utah Partners For Health was last updated on October 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.