BE WELL MEDICAL
NPI 1669092169
Clinic/Center - Primary Care in Hyde Park, UT

Active since April 24, 2020CLIA 46D2192438 · Waiver
3935 N 75 W, HYDE PARK, UT 84318(435) 359-0720 Get Directions Write a Review

NPPES record last updated: August 14, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 14, 2020, Apr 24, 2020 (2 updates tracked since 2020).

About Be Well Medical NPPES

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

BE WELL MEDICAL (NPI 1669092169) is a healthcare organization registered as a primary care in Hyde Park, Utah and active in the NPI registry since April 2020. The organization holds a CLIA Waiver certificate valid through September 9, 2026 and lists Andrea Lee Skates, Fnp/operations Manager, as its authorized official.

NPPES Registry Identity

NPI1669092169
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBE WELL MEDICAL, PLLC
Location Address3935 N 75 WHyde Park, UT 84318-4111
Mailing Address41 E 400 N # 322Logan, UT 84321-4020 · (435) 359-0720
Organization SubpartNo
Authorized OfficialAndrea Lee SkatesFnp/operations Manager · (435) 359-0720
Enumeration DateApril 24, 2020
Last NPPES UpdateAugust 14, 20202 updates tracked since enumeration
NPPES CertifiedAugust 14, 2020
NPI 1669092169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
3935 N 75 W, Hyde Park, UT 84318

Other Names 1

Doing Business AsBe Well Medical

Other Identifiers 2

Medicaid1972990828UT
Medicaid1811519085UT

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 46D2192438

Be Well Medical, PLLC · Hyde Park, UT
Active · expires Sep 9, 2026
CLIA Number46D2192438
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 10, 2024
Certificate Expiration DateSeptember 9, 2026
Laboratory DirectorAndrea L. Skates
Laboratory Phone(435) 359-0720
Laboratory LocationBe Well Medical, PLLC3935 N 75 W, Hyde Park, UT 84318
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

Nurse Practitioner (Family)
3935 N 75 W
HYDE PARK, UT 84318
Dietitian, Registered
3935 N 75 W
HYDE PARK, UT 84318
Chiropractor (Rehabilitation)
3935 N 75 W
HYDE PARK, UT 84318
Chiropractor
3935 N 75 W
HYDE PARK, UT 84318
Chiropractor
3935 N 75 W
HYDE PARK, UT 84318
Health Maintenance Organization
3935 N 75 W
HYDE PARK, UT 84318
Dietitian, Registered
3935 N 75 W
HYDE PARK, UT 84318
Physical Therapist
3935 N 75 W
HYDE PARK, UT 84318

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 Be Well Medical, PLLC's NPI number?

The NPI number for Be Well Medical, PLLC is 1669092169. It was assigned to this organization in the NPPES registry on April 24, 2020. The provider is doing business as Be Well Medical.

Where is Be Well Medical, PLLC located?

Be Well Medical, PLLC is located at 3935 N 75 W, Hyde Park, UT 84318. The listed phone number is (435) 359-0720.

What is Be Well Medical, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Be Well Medical, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2192438) is associated with this NPI, valid through September 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Be Well Medical, PLLC was last updated on August 14, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.