PURE HEALTHCARE OF UTAH, LLC
NPI 1831782994
Clinic/Center - Multi-Specialty in Taylorsville, UT

Active since February 18, 2021
4179 S RIVERBOAT RD STE 170, TAYLORSVILLE, UT 84123(385) 276-3945(801) 852-0999 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2023, Sep 15, 2021, Feb 18, 2021 (3 updates tracked since 2021).

About Pure Healthcare Of Utah, Llc NPPES

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

PURE HEALTHCARE OF UTAH, LLC (NPI 1831782994) is a healthcare organization registered as a multi-specialty in Taylorsville, Utah and active in the NPI registry since February 2021. The organization maintains 3 additional practice locations and lists Rachel Fraga, Contracting Manager, as its authorized official.

NPPES Registry Identity

NPI1831782994
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePURE HEALTHCARE OF UTAH, LLC
Location Address4179 S RIVERBOAT RD STE 170Taylorsville, UT 84123-2702
Mailing Address4179 S Riverboat Rd Ste 220Taylorsville, UT 84123-2986 · (801) 755-3387
Fax(801) 852-0999
Organization SubpartNo
Authorized OfficialRachel FragaContracting Manager · (801) 921-6325
Enumeration DateFebruary 18, 2021
Last NPPES UpdateApril 30, 20253 updates tracked since enumeration
NPPES CertifiedApril 30, 2025
✔ NPI 1831782994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
4179 S RIVERBOAT RD STE 170, Taylorsville, UT 84123

Secondary Practice Locations 3

Location 1437 S Bluff St Ste 201St George, UT 84770-3555 · Phone (435) 523-4040 · Fax (435) 359-5218
Location 2947 S 500 E Ste 302American Fork, UT 84003-3370 · Phone (801) 921-6530 · Fax (801) 772-9874
Location 31492 W Antelope Dr Ste 211Layton, UT 84041-1139 · Phone (385) 382-1440 · Fax (801) 991-3306

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pure Healthcare Of Utah, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Pure Healthcare Of Utah, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1750768842
50 N MEDICAL DR
Salt Lake City, UT 84132
(801) 581-2121
✔ PECOS✔ Accepts Medicare7.5 mi
Anesthesiology
NPI 1699744367
2635 N 7TH ST
Grand Junction, CO 81501
(970) 244-2273
✔ PECOS✔ Accepts Medicare209 mi
Emergency Medicine
NPI 1578882759
1380 E MEDICAL CENTER DR
St George, UT 84790
(435) 251-1000
✔ PECOS✔ Accepts Medicare262 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Pure Healthcare Of Utah, LLC's NPI number?

The NPI number for Pure Healthcare Of Utah, LLC is 1831782994. It was assigned to this organization in the NPPES registry on February 18, 2021.

Where is Pure Healthcare Of Utah, LLC located?

Pure Healthcare Of Utah, LLC is located at 4179 S Riverboat Rd Ste 170, Taylorsville, UT 84123. The listed phone number is (385) 276-3945.

What is Pure Healthcare Of Utah, LLC's specialty?

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

Is Pure Healthcare Of Utah, LLC enrolled in Medicare?

Yes. Pure Healthcare Of Utah, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pure Healthcare Of Utah, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Pure Healthcare Of Utah, LLC, in Anesthesiology, Emergency Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pure Healthcare Of Utah, LLC was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.