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REVERE HEALTH
NPI 1851631139
Internal Medicine - Hematology & Oncology in St George, UT

Active since February 22, 2013CLIA 46D2273136 · Accreditation
2019 E RIVERSIDE DR, SUITE A200, ST GEORGE, UT 84790(435) 628-9298(435) 628-9655 Get Directions Write a Review

NPPES record last updated: March 7, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2018, Apr 19, 2017 (2 updates tracked since 2017).

About Revere Health NPPES

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

REVERE HEALTH (NPI 1851631139) is a healthcare organization registered as a hematology & oncology in St George, Utah and active in the NPI registry since February 2013. The organization holds an CLIA Accreditation certificate valid through January 15, 2028 and lists Jed Harston, Director Of Managed Care, as its authorized official.

NPPES Registry Identity

NPI1851631139
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameCENTRAL UTAH CLINIC, P.C.
Location Address2019 E RIVERSIDE DR, SUITE A200St George, UT 84790-8134
Mailing Address1055 N 500 W, Attn: CredentialingProvo, UT 84604-3305 · (801) 354-8225 · Fax (801) 418-0941
Phone(435) 628-9298
Fax(435) 628-9655
Organization SubpartNo
Authorized OfficialJed HarstonDirector Of Managed Care · (801) 812-5012
Enumeration DateFebruary 22, 2013
Last NPPES UpdateMarch 7, 20182 updates tracked since enumeration
✔ NPI 1851631139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
2019 E RIVERSIDE DR, St George, UT 84790
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Other Names 1

Doing Business AsRevere Health

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Accreditation 46D2273136

Revere Health St George Oncology Lab · St George, UT
Active · expires Jan 15, 2028
CLIA Number46D2273136
Laboratory TypePhysician Office
Certificate Effective DateJanuary 16, 2026
Certificate Expiration DateJanuary 15, 2028
Laboratory DirectorSamantha L. Pellegrino
Laboratory Phone(435) 628-9298
Laboratory LocationRevere Health St George Oncology Lab2019 E Riverside Dr, St George, UT 84790
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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.

PULMONARY & SLEEP CLINIC
Internal Medicine (Pulmonary Disease)
2019 E RIVERSIDE DR
ST GEORGE, UT 84790
Washington County (435) 656-1699
DRAKE BROADBENT REGISTERED NURSE
Registered Nurse (Wound Care)
2019 E RIVERSIDE DR
ST GEORGE, UT 84790
Washington County (801) 376-0330

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 1851631139. It was assigned to this organization in the NPPES registry on February 22, 2013. The provider is doing business as Revere Health.

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

Central Utah Clinic, P.C. is located at 2019 E Riverside Dr Suite A200, St George, UT 84790. The listed phone number is (435) 628-9298.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Does Central Utah Clinic, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 46D2273136) is associated with this NPI, valid through January 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Central Utah Clinic, P.C. was last updated on March 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.