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REVERE HEALTH
NPI 1508896838
Family Medicine in Payson, UT

Active since July 03, 2006CLIA 46D2345737 · Waiver
97 S PROFESSIONAL WAY, SUITE 2, PAYSON, UT 84651(801) 465-4896(801) 465-4107 Get Directions Write a Review

NPPES record last updated: March 7, 2018. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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

About Revere Health NPPES

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

REVERE HEALTH (NPI 1508896838) is a healthcare organization registered as a family medicine in Payson, Utah and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through June 16, 2028 and lists Jed Harston, Director Of Managed Care, as its authorized official.

NPPES Registry Identity

NPI1508896838
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCENTRAL UTAH CLINIC, P.C.
Location Address97 S PROFESSIONAL WAY, SUITE 2Payson, UT 84651-1614
Mailing Address1055 N 500 W, Attn: CredentialingProvo, UT 84604-3305 · (801) 354-8225 · Fax (801) 418-0941
Phone(801) 465-4896
Fax(801) 465-4107
Organization SubpartNo
Authorized OfficialJed HarstonDirector Of Managed Care · (801) 812-5012
Enumeration DateJuly 3, 2006
Last NPPES UpdateMarch 7, 20182 updates tracked since enumeration
✔ NPI 1508896838 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.
97 S PROFESSIONAL WAY, Payson, UT 84651
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Other Names 1

Doing Business AsRevere Health

Other Identifiers 1

Medicaid870609595000UT

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 Waiver 46D2345737

Revere Health Famiy Medicine · Payson, UT
Active · expires Jun 16, 2028
CLIA Number46D2345737
Laboratory TypePhysician Office
Certificate Effective DateJune 17, 2026
Certificate Expiration DateJune 16, 2028
Laboratory DirectorAdam Jensen
Laboratory Phone(801) 465-4481
Laboratory LocationRevere Health Famiy Medicine15 S 1000 E, Sutie #300, Payson, UT 84651
CLIA data matches this NPI record on: Name
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 Central Utah Clinic, P.C.'s NPI number?

The NPI number for Central Utah Clinic, P.C. is 1508896838. It was assigned to this organization in the NPPES registry on July 3, 2006. The provider is doing business as Revere Health.

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

Central Utah Clinic, P.C. is located at 97 S Professional Way Suite 2, Payson, UT 84651. The listed phone number is (801) 465-4896.

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

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

Does Central Utah Clinic, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2345737) is associated with this NPI, valid through June 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Central Utah Clinic, P.C. was last updated on March 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.