BLUE ROCK MEDICAL CENTER
NPI 1649567504
Clinic/Center - Multi-Specialty in Provo, UT

Q: What is Riverside Medical Center LLC's NPI number?

The NPI number for Riverside Medical Center LLC is 1649567504. It was assigned to this organization in the NPPES registry on June 29, 2011. The provider is doing business as Blue Rock Medical Center.

Q: What is Riverside Medical Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since June 29, 2011CLIA Certified · 2 labs

3152 N UNIVERSITY AVE STE 100, PROVO, UT 84604(801) 229-2002(801) 229-1003 Get Directions Write a Review

NPPES record last updated: November 1, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Blue Rock Medical Center NPPES

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

BLUE ROCK MEDICAL CENTER (NPI 1649567504) is a healthcare organization registered as a multi-specialty in Provo, Utah and active in the NPI registry since June 2011. The organization holds 2 active CLIA laboratory certificates and lists Barbara Givens, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1649567504

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameRIVERSIDE MEDICAL CENTER LLC

Location Address3152 N UNIVERSITY AVE STE 100Provo, UT 84604-4729

Mailing Address3152 N University Ave Ste 100Provo, UT 84604-4729 · (801) 229-2002 · Fax (801) 229-1003

Phone(801) 229-2002

Fax(801) 229-1003

Organization SubpartNo

Authorized OfficialBarbara GivensOffice Manager · (801) 229-2002

Enumeration DateJune 29, 2011

Last NPPES UpdateNovember 1, 2012

✔ NPI 1649567504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

3152 N UNIVERSITY AVE STE 100, Provo, UT 84604

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Other Names 1

Doing Business AsBlue Rock Medical Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health, University of Utah Health Plans.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 46D2261257

Riverside Medical Center · Provo, UT

Active · expires May 26, 2028

CLIA Number46D2261257

Laboratory TypePhysician Office

Certificate Effective DateMay 27, 2026

Certificate Expiration DateMay 26, 2028

Laboratory DirectorThomas Fjeldsted

Laboratory Phone(801) 437-4895

Laboratory LocationRiverside Medical Center3152 N University Ave, Provo, UT 84604

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 46D2095839

Riverwoods Interventional Radiology, Inc Dba Blue Rock Surgical Center · Provo, UT

Active · expires May 11, 2027

CLIA Number46D2095839

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMay 12, 2025

Certificate Expiration DateMay 11, 2027

Laboratory DirectorWendell A. Gibby MD

Laboratory Phone(801) 229-2002

Laboratory LocationRiverwoods Interventional Radiology, Inc Dba Blue Rock Surgical Center3152 N University Ave, Suite 150, Provo, UT 84604

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

JACOB TROY GIBBY MD

Radiology (Neuroradiology)

3152 N UNIVERSITY AVE STE 100
PROVO, UT 84604

Utah County (801) 229-2002

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 Riverside Medical Center LLC's NPI number?

The NPI number for Riverside Medical Center LLC is 1649567504. It was assigned to this organization in the NPPES registry on June 29, 2011. The provider is doing business as Blue Rock Medical Center.

Where is Riverside Medical Center LLC located?

Riverside Medical Center LLC is located at 3152 N University Ave Ste 100, Provo, UT 84604. The listed phone number is (801) 229-2002.

What is Riverside Medical Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Riverside Medical Center LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Riverside Medical Center LLC accept?

Health plans from Molina Healthcare, Select Health and University of Utah Health Plans list Riverside Medical Center LLC 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 Riverside Medical Center LLC was last updated on November 1, 2012. 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.