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PEDIATRIC CARE INC
NPI 1811956352
Pediatrics in Provo, UT

Active since March 22, 2006CLIA Certified · 2 labs
1675 N. FREEDOM BLVD., #3, PROVO, UT 84604(801) 377-8000(801) 377-8001 Get Directions Write a Review

NPPES record last updated: November 10, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric Care Inc NPPES

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

PEDIATRIC CARE INC (NPI 1811956352) is a healthcare organization registered as a pediatrics in Provo, Utah and active in the NPI registry since March 2006. The organization holds 2 active CLIA laboratory certificates and lists Bret Woods, Administrator, as its authorized official.

NPPES Registry Identity

NPI1811956352
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC CARE INC
Location Address1675 N. FREEDOM BLVD., #3Provo, UT 84604
Mailing AddressPo Box 1001Provo, UT 84603-1001 · (801) 377-8000 · Fax (801) 377-8001
Phone(801) 377-8000
Fax(801) 377-8001
Organization SubpartNo
Authorized OfficialBret WoodsAdministrator · (801) 400-2050
Enumeration DateMarch 22, 2006
Last NPPES UpdateNovember 10, 2011
✔ NPI 1811956352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1675 N. FREEDOM BLVD., Provo, UT 84604
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 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 46D0711659

Pediatric Care Inc · Provo, UT
Active · expires Apr 18, 2027
CLIA Number46D0711659
Laboratory TypePhysician Office
Certificate Effective DateApril 19, 2025
Certificate Expiration DateApril 18, 2027
Laboratory DirectorKenneth A. Zollo
Laboratory Phone(801) 377-8000
Laboratory LocationPediatric Care Inc1675 N Freedom Blvd #3, Provo, UT 84604
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 46D2320633

Pediatric Care · Salem, UT
Active · expires Mar 20, 2027
CLIA Number46D2320633
Laboratory TypePhysician Office
Certificate Effective DateMarch 21, 2025
Certificate Expiration DateMarch 20, 2027
Laboratory DirectorJoshua D. Fuller
Laboratory Phone(801) 377-8000
Laboratory LocationPediatric Care89 East State Rd 198, Ste D, Salem, UT 84653
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Pediatric Care Inc's NPI number?

The NPI number for Pediatric Care Inc is 1811956352. It was assigned to this organization in the NPPES registry on March 22, 2006.

Where is Pediatric Care Inc located?

Pediatric Care Inc is located at 1675 N. Freedom Blvd. #3, Provo, UT 84604. The listed phone number is (801) 377-8000.

What is Pediatric Care Inc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Pediatric Care Inc 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 Pediatric Care Inc accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Pediatric Care Inc 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 Pediatric Care Inc was last updated on November 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.