CENTRAL UTAH CLINIC, P.C.
NPI 1669930475
Clinic/Center - Multi-Specialty in Mesquite, NV

Q: What is Central Utah Clinic, P.C.'s NPI number?

The NPI number for Central Utah Clinic, P.C. is 1669930475. It was assigned to this organization in the NPPES registry on March 11, 2019. The provider is doing business as Revere Health.

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

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

Active since March 11, 2019

330 FALCON RIDGE PKWY STE 400A, MESQUITE, NV 89027(801) 377-5757(801) 418-0941 Get Directions Write a Review

NPPES record last updated: March 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Central Utah Clinic, P.c. NPPES

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

CENTRAL UTAH CLINIC, P.C. (NPI 1669930475), doing business as Revere Health, is a healthcare organization registered as a multi-specialty in Mesquite, Nevada and active in the NPI registry since March 2019. The organization lists Jed Bradley Harston, Director Of Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1669930475

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameCENTRAL UTAH CLINIC, P.C.

Location Address330 FALCON RIDGE PKWY STE 400AMesquite, NV 89027-8881

Mailing Address1055 N 500 W, Attn: CredentialingProvo, UT 84604-3305 · (801) 354-8225 · Fax (801) 418-0941

Phone(801) 377-5757

Fax(801) 418-0941

Organization SubpartNo

Authorized OfficialJed Bradley HarstonDirector Of Payer Relations · (801) 812-5012

Enumeration DateMarch 11, 2019

✔ NPI 1669930475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code261QM1300X

330 FALCON RIDGE PKWY STE 400A, Mesquite, NV 89027

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Other Names 1

Doing Business AsRevere Health

Other Providers at the Same Location NPPES 2

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

MRS. ASHLEY P HANSEN PA-C

Physician Assistant

330 FALCON RIDGE PKWY STE 400A
MESQUITE, NV 89027

Clark County (435) 628-9393

TODD MICHAEL CRAVENS PA-C

Physician Assistant

330 FALCON RIDGE PKWY STE 400A
MESQUITE, NV 89027

Clark County (435) 628-9393

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 1669930475. It was assigned to this organization in the NPPES registry on March 11, 2019. The provider is doing business as Revere Health.

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

Central Utah Clinic, P.C. is located at 330 Falcon Ridge Pkwy Ste 400A, Mesquite, NV 89027. The listed phone number is (801) 377-5757.

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

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

When was this NPI record last updated?

The NPPES record for Central Utah Clinic, P.C. was last updated on March 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.