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CENTRAL UTAH CLINIC PC
NPI 1851142285
Clinic/Center - Multi-Specialty in Spanish Fork, UT

Active since April 01, 2024
972 N 600 E, SPANISH FORK, UT 84660(801) 373-7350(801) 812-5401 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Central Utah Clinic Pc NPPES

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

CENTRAL UTAH CLINIC PC (NPI 1851142285), doing business as Revere Health, is a healthcare organization registered as a multi-specialty in Spanish Fork, Utah and active in the NPI registry since April 2024. The organization lists Jed Bradley Harston, Director Of Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1851142285
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameCENTRAL UTAH CLINIC PC
Location Address972 N 600 ESpanish Fork, UT 84660-1306
Mailing Address1055 N 500 W, Att CredentialingProvo, UT 84604 · (801) 354-8225 · Fax (801) 418-0941
Phone(801) 373-7350
Fax(801) 812-5401
Organization SubpartNo
Authorized OfficialJed Bradley HarstonDirector Of Payer Relations · (801) 812-5012
Enumeration DateApril 1, 2024
NPPES CertifiedApril 1, 2024
✔ NPI 1851142285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
972 N 600 E, Spanish Fork, UT 84660
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Other Names 1

Doing Business AsRevere Health

Other Providers at the Same Location NPPES 11

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

BROOK DAVID ROGERS PA-C
Physician Assistant
972 N 600 E
SPANISH FORK, UT 84660
Utah County (385) 265-6060
RACHELLE STONE PA-C
Physician Assistant
972 N 600 E
SPANISH FORK, UT 84660
Utah County (801) 354-8225
LINDSAY LEONARD FNP
Nurse Practitioner (Family)
972 N 600 E
SPANISH FORK, UT 84660
Utah County (385) 265-6060
STACIE HENDERSON PA
Physician Assistant
972 N 600 E
SPANISH FORK, UT 84660
Utah County (801) 465-4896
LACEY ROSE WINKEL FNP-C
Nurse Practitioner (Family)
972 N 600 E
SPANISH FORK, UT 84660
Utah County (801) 465-4896
JAMES VANCE DODDS PA
Physician Assistant
972 N 600 E
SPANISH FORK, UT 84660
Utah County (385) 265-6060
JUDY DE LA VEGA
Nurse Practitioner (Family)
972 N 600 E
SPANISH FORK, UT 84660
Utah County (801) 465-4896
BRYN NELSON FNP-C
Nurse Practitioner (Family)
972 N 600 E
SPANISH FORK, UT 84660
Utah County (801) 465-4896

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 PC's NPI number?

The NPI number for Central Utah Clinic PC is 1851142285. It was assigned to this organization in the NPPES registry on April 1, 2024. The provider is doing business as Revere Health.

Where is Central Utah Clinic PC located?

Central Utah Clinic PC is located at 972 N 600 E, Spanish Fork, UT 84660. The listed phone number is (801) 373-7350.

What is Central Utah Clinic PC'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 PC was last updated on April 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.