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PINE TOP MEDICAL P.C.
NPI 1679956445
Clinic/Center in Price, UT

Active since June 29, 2015CLIA 46D2099023 · Waiver
284 N HOSPITAL DR, SUITE 2, PRICE, UT 84501(435) 637-5690(435) 637-9809 Get Directions Write a Review

NPPES record last updated: August 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pine Top Medical P.c. NPPES

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

PINE TOP MEDICAL P.C. (NPI 1679956445) is a healthcare organization registered as a clinic/center in Price, Utah and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through July 19, 2027 and lists Eugene Douglas Larsen, President, as its authorized official.

NPPES Registry Identity

NPI1679956445
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePINE TOP MEDICAL P.C.
Location Address284 N HOSPITAL DR, SUITE 2Price, UT 84501-4233
Mailing Address284 N Hospital Dr, Suite 2Price, UT 84501-4233 · (435) 637-5690 · Fax (435) 637-9809
Phone(435) 637-5690
Fax(435) 637-9809
Organization SubpartNo
Authorized OfficialEugene Douglas LarsenPresident · (801) 309-5156
Enumeration DateJune 29, 2015
Last NPPES UpdateAugust 10, 2015
✔ NPI 1679956445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in UT · 93369771204
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
284 N HOSPITAL DR, Price, UT 84501
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

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 46D2099023

Pine Top Medical · Price, UT
Active · expires Jul 19, 2027
CLIA Number46D2099023
Laboratory TypePhysician Office
Certificate Effective DateJuly 20, 2025
Certificate Expiration DateJuly 19, 2027
Laboratory DirectorEugene D. Larsen
Laboratory Phone(435) 637-5690
Laboratory LocationPine Top Medical284 N Hospital Drive, Suite 2, Price, UT 84501
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 9

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

BAILEY MORTENSEN DPT
Physical Therapist
284 N HOSPITAL DR
PRICE, UT 84501
Carbon County (435) 636-4841
MR. PAUL KIRSTEN SMITH D.P.T
Physical Therapist
284 N HOSPITAL DR
PRICE, UT 84501
Carbon County (435) 636-4841
TIFFNI ELIZABETH MONAHAN PTA
Physical Therapy Assistant
284 N HOSPITAL DR
PRICE, UT 84501
Carbon County (435) 636-4841
DR. JOHN BRADFORD LEWIS DPT
Physical Therapist
284 N HOSPITAL DR
PRICE, UT 84501
Carbon County (435) 636-4841
JOHNNY DOWNARD OT
Occupational Therapist
284 N HOSPITAL DR
PRICE, UT 84501
Carbon County (435) 636-4841
ROBERT BRIAN POWELL D.P.T.
Physical Therapist
284 N HOSPITAL DR
PRICE, UT 84501
Carbon County (435) 636-4841
WILLIAM SCOTT CRIDER OTR/L
Occupational Therapist
284 N HOSPITAL DR
PRICE, UT 84501
Carbon County (435) 636-4841
KRISTIANN HENRICKSEN DPT
Physical Therapist
284 N HOSPITAL DR
PRICE, UT 84501
Carbon County (435) 636-4841

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 Pine Top Medical P.C.'s NPI number?

The NPI number for Pine Top Medical P.C. is 1679956445. It was assigned to this organization in the NPPES registry on June 29, 2015.

Where is Pine Top Medical P.C. located?

Pine Top Medical P.C. is located at 284 N Hospital Dr Suite 2, Price, UT 84501. The listed phone number is (435) 637-5690.

What is Pine Top Medical P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Pine Top Medical P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2099023) is associated with this NPI, valid through July 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pine Top Medical P.C. accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Pine Top Medical P.C. 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 Pine Top Medical P.C. was last updated on August 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.