ROOSEVELT COMMUNITY CLINIC
NPI 1871834960
Clinic/Center - Rural Health in Roosevelt, UT

Q: What is Ashley Valley Physician Practice LLC's NPI number?

The NPI number for Ashley Valley Physician Practice LLC is 1871834960. It was assigned to this organization in the NPPES registry on March 14, 2013. The provider is doing business as Roosevelt Community Clinic.

Q: What is Ashley Valley Physician Practice LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since March 14, 2013

409 S 200 E, ROOSEVELT, UT 84066(435) 781-0757(435) 781-2628 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 18, 2024, Oct 25, 2022 (2 updates tracked since 2022).

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About Roosevelt Community Clinic NPPES

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

ROOSEVELT COMMUNITY CLINIC (NPI 1871834960) is a healthcare organization registered as a rural health in Roosevelt, Utah and active in the NPI registry since March 2013. The organization lists Charlotte Lawrence, Secretary, as its authorized official.

NPPES Registry Identity

NPI1871834960

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameASHLEY VALLEY PHYSICIAN PRACTICE LLC

Location Address409 S 200 ERoosevelt, UT 84066-3314

Mailing Address409 S 200 ERoosevelt, UT 84066-3314 · (435) 781-0757 · Fax (435) 781-2628

Phone(435) 781-0757

Fax(435) 781-2628

Organization SubpartYes

Authorized OfficialCharlotte LawrenceSecretary · (615) 920-7000

Enumeration DateMarch 14, 2013

Last NPPES UpdateSeptember 18, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2024

✔ NPI 1871834960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

409 S 200 E, Roosevelt, UT 84066

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Other Names 1

Doing Business AsRoosevelt Community Clinic

Other Providers at the Same Location NPPES

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

ASHLEY VALLEY PHYSICIAN PRACTICE, LLC

Family Medicine

409 S 200 E
ROOSEVELT, UT 84066

Duchesne County (435) 725-3327

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 Ashley Valley Physician Practice LLC's NPI number?

The NPI number for Ashley Valley Physician Practice LLC is 1871834960. It was assigned to this organization in the NPPES registry on March 14, 2013. The provider is doing business as Roosevelt Community Clinic.

Where is Ashley Valley Physician Practice LLC located?

Ashley Valley Physician Practice LLC is located at 409 S 200 E, Roosevelt, UT 84066. The listed phone number is (435) 781-0757.

What is Ashley Valley Physician Practice LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Ashley Valley Physician Practice LLC was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.