ASHLEY VALLEY FAMILY PRACTICE
NPI 1881779809
Family Medicine in Vernal, UT

Active since October 26, 2006CLIA 46D1047543 · Waiver
872 W HIGHWAY 40, VERNAL, UT 84078(435) 781-8899(435) 781-8898 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ashley Valley Family Practice NPPES

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

ASHLEY VALLEY FAMILY PRACTICE (NPI 1881779809) is a healthcare organization registered as a family medicine in Vernal, Utah and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through November 7, 2027 and lists Shaun C Shurtliff, President, as its authorized official.

NPPES Registry Identity

NPI1881779809
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameASHLEY VALLEY FAMILY PRACTICE
Location Address872 W HIGHWAY 40Vernal, UT 84078-2416
Mailing Address872 W Highway 40Vernal, UT 84078-2416 · (435) 781-8899 · Fax (435) 781-8898
Fax(435) 781-8898
Organization SubpartNo
Authorized OfficialShaun C ShurtliffPresident · (435) 781-8899
Enumeration DateOctober 26, 2006
Last NPPES UpdateOctober 28, 2020
NPPES CertifiedOctober 13, 2020
NPI 1881779809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
872 W HIGHWAY 40, Vernal, UT 84078

Other Identifiers 1

Other07/16/1967Owner's Birthdate

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

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 Waiver 46D1047543

Ashley Valley Family Practice · Vernal, UT
Active · expires Nov 7, 2027
CLIA Number46D1047543
Laboratory TypePhysician Office
Certificate Effective DateNovember 8, 2025
Certificate Expiration DateNovember 7, 2027
Laboratory DirectorMackenzie C. Anderton
Laboratory Phone(435) 781-8899
Laboratory LocationAshley Valley Family Practice872 W Us 40, Vernal, UT 84078
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

Physician Assistant
872 W HIGHWAY 40
VERNAL, UT 84078
Family Medicine
872 W HIGHWAY 40
VERNAL, UT 84078
Clinic/Center (Urgent Care)
872 W HIGHWAY 40
VERNAL, UT 84078
Nurse Practitioner (Family)
872 W HIGHWAY 40
VERNAL, UT 84078
Physician Assistant
872 W HIGHWAY 40
VERNAL, UT 84078
Physician Assistant
872 W HIGHWAY 40
VERNAL, UT 84078

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 Family Practice's NPI number?

The NPI number for Ashley Valley Family Practice is 1881779809. It was assigned to this organization in the NPPES registry on October 26, 2006.

Where is Ashley Valley Family Practice located?

Ashley Valley Family Practice is located at 872 W Highway 40, Vernal, UT 84078. The listed phone number is (435) 781-8899.

What is Ashley Valley Family Practice's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Ashley Valley Family Practice hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D1047543) is associated with this NPI, valid through November 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ashley Valley Family Practice accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Ashley Valley Family Practice 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 Ashley Valley Family Practice was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.