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ROOSEVELT COMMUNITY CLINIC
NPI 1518247709
Family Medicine in Roosevelt, UT

Active since August 19, 2011
409 S 200 E, ROOSEVELT, UT 84066(435) 725-3327(435) 725-3331 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 18, 2024, Oct 25, 2022, Sep 3, 2020 (3 updates tracked since 2020).

About Roosevelt Community Clinic NPPES

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

ROOSEVELT COMMUNITY CLINIC (NPI 1518247709) is a healthcare organization registered as a family medicine in Roosevelt, Utah and active in the NPI registry since August 2011. The organization lists Charlotte Lawrence, Secretary, as its authorized official.

NPPES Registry Identity

NPI1518247709
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameASHLEY VALLEY PHYSICIAN PRACTICE, LLC
Location Address409 S 200 ERoosevelt, UT 84066-3314
Mailing Address409 S 200 ERoosevelt, UT 84066-3314 · (435) 725-3327 · Fax (435) 725-3331
Phone(435) 725-3327
Fax(435) 725-3331
Organization SubpartNo
Authorized OfficialCharlotte LawrenceSecretary · (615) 920-7000
Enumeration DateAugust 19, 2011
Last NPPES UpdateSeptember 18, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1518247709 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.
409 S 200 E, Roosevelt, UT 84066
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Other Names 1

Doing Business AsRoosevelt Community Clinic

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

Other Providers at the Same Location NPPES

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

ASHLEY VALLEY PHYSICIAN PRACTICE LLC
Clinic/Center (Rural Health)
409 S 200 E
ROOSEVELT, UT 84066
Duchesne County (435) 781-0757

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 Ashley Valley Physician Practice, LLC's NPI number?

The NPI number for Ashley Valley Physician Practice, LLC is 1518247709. It was assigned to this organization in the NPPES registry on August 19, 2011. The provider is doing business as Roosevelt Community Clinic.

Where is Ashley Valley Physician Practice, LLC located?

Ashley Valley Physician Practice, LLC is located at 409 S 200 E, Roosevelt, UT 84066. The listed phone number is (435) 725-3327.

What is Ashley Valley Physician Practice, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Ashley Valley Physician Practice, LLC was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.