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STATE OF UTAH
NPI 1982669982
Clinic/Center - Public Health, State or Local in Provo, UT

Active since April 20, 2006
150 E. CENTER ST., #1100, PROVO, UT 84606(801) 374-7011(801) 374-7009 Get Directions Write a Review

NPPES record last updated: May 18, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About State Of Utah NPPES

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

STATE OF UTAH (NPI 1982669982) is a healthcare organization registered as a public health, state or local in Provo, Utah and active in the NPI registry since April 2006. The organization lists Stacey Marie Keyes, Health Program Representative-bille, as its authorized official.

NPPES Registry Identity

NPI1982669982
Entity TypeOrganization
Primary Taxonomy261QP0905X
Legal Business NameHEALTH CLINICS OF UTAH
Location Address150 E. CENTER ST., #1100Provo, UT 84606
Mailing Address150 E Center St., #1100Provo, UT 84606 · (801) 374-7011 · Fax (801) 374-7009
Phone(801) 374-7011
Fax(801) 374-7009
Organization SubpartNo
Authorized OfficialStacey Marie KeyesHealth Program Representative-bille · (801) 626-3353
Enumeration DateApril 20, 2006
Last NPPES UpdateMay 18, 2012
✔ NPI 1982669982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Public Health, State or LocalAmbulatory Health Care Facilities
Taxonomy Code261QP0905X
Licenses✔ Licensed in UT · 1610961205✔ Licensed in UT · 105991-1206✔ Licensed in UT · 285456-4405
150 E. CENTER ST., Provo, UT 84606
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Other Names 1

Other NameState Of Utah

Other Identifiers 9

Medicare UPIN000055211UT
Medicaid05664UT
Medicare PIN000000205UT
Medicare UPINS48215UT
Medicare PIN000055211UT
Medicare UPIND5023UT
Medicaid05665UT
Medicaid535501136001UT
Medicare UPIND20267UT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

84

Medicare enrollment records show 84 clinicians reassign Medicare billing to State Of Utah, which bills Medicare for the services they deliver. Of these, 64 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Clinical Social Worker27
Psychiatry14
Clinical Psychologist13
Nurse Practitioner13
Family Practice9
General Practice3
Podiatry3
Dentist1
1 other specialty1

Nearest to this location (20)

See all 84
Joseph Miner, MD
Family Practice
NPI 1881652980
151 S UNIVERSITY AVE SUITE 2800
Provo, UT 84601
(801) 851-7011
✔ PECOS0.2 mi
Alisa Erickson
Clinical Social Worker
NPI 1851604276
750 N FREEDOM BLVD
Provo, UT 84601
(801) 373-4760
✔ PECOS✔ Accepts Medicare0.8 mi
Thomas Yee, APRN
Nurse Practitioner
NPI 1659456754
750 N FREEDOM BLVD STE 300
Provo, UT 84601
(801) 373-4760
✔ PECOS✔ Accepts Medicare0.8 mi
Brent Griffin, MD
Psychiatry
NPI 1023038114
1034 N 500 W
Provo, UT 84604
(801) 357-4542
✔ PECOS✔ Accepts Medicare1.2 mi
Ted Barratt, PH.D.
Clinical Psychologist
NPI 1427184878
1300 E CENTER ST
Provo, UT 84606
(801) 344-4215
✔ PECOS1.2 mi
Michael Bartlett
Clinical Social Worker
NPI 1447507801
1300 E CENTER ST
Provo, UT 84606
(801) 344-4400
✔ PECOS✔ Accepts Medicare1.2 mi
John Bench, M.D.
Psychiatry
NPI 1114905965
1300 E CENTER ST
Provo, UT 84606
(801) 344-4400
✔ PECOS✔ Accepts Medicare1.2 mi
Douglas Benson, PSY.D
Clinical Psychologist
NPI 1306080544
1300 E CENTER ST
Provo, UT 84606
(801) 344-4400
✔ PECOS✔ Accepts Medicare1.2 mi
Michael Benson, MD
Psychiatry
NPI 1538797659
1300 E CENTER ST
Provo, UT 84606
(801) 344-4400
✔ PECOS1.2 mi
Rachelle Bird, LCSW
Clinical Social Worker
NPI 1205488566
1300 E CENTER ST
Provo, UT 84606
(801) 344-4400
✔ PECOS1.2 mi
Kelly Brose, LCSW
Clinical Social Worker
NPI 1962811224
1300 E CENTER ST
Provo, UT 84606
(801) 344-4400
✔ PECOS✔ Accepts Medicare1.2 mi
Denise Goettsche, DO
General Practice
NPI 1740225218
1300 E CENTER ST
Provo, UT 84606
(801) 344-4400
✔ PECOS✔ Accepts Medicare1.2 mi
Elmo Gruwell, M.D.
General Practice
NPI 1598972655
1300 E CENTER ST
Provo, UT 84606
(801) 344-4400
✔ PECOS1.2 mi
Margaret Gustafson, PHD
Clinical Psychologist
NPI 1336463868
1300 E CENTER ST
Provo, UT 84606
(801) 344-4400
✔ PECOS1.2 mi
David Hillam, MD
Family Practice
NPI 1275623878
1300 E CENTER ST
Provo, UT 84606
(801) 344-4400
✔ PECOS✔ Accepts Medicare1.2 mi
John Jackson, M.D.
General Practice
NPI 1548321862
1300 E CENTER ST
Provo, UT 84606
(801) 344-4400
✔ PECOS1.2 mi
Michael Johnson, APRN
Nurse Practitioner
NPI 1801381553
1300 E CENTER ST
Provo, UT 84606
(801) 344-4400
✔ PECOS1.2 mi
Julia Knaphus, APRN
Nurse Practitioner
NPI 1811484470
1300 E CENTER ST
Provo, UT 84606
(801) 344-4400
✔ PECOS✔ Accepts Medicare1.2 mi
Scott Walker, DO
Family Practice
NPI 1528321627
1300 E CENTER ST
Provo, UT 84606
(801) 344-4400
✔ PECOS1.2 mi
Thomas Rogers, D.P.M.
Podiatry
NPI 1720069446
150 W 800 N
Provo, UT 84601
(801) 375-5353
✔ PECOS✔ Accepts Medicare1.8 mi
See all 84 clinicians

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 Health Clinics Of Utah's NPI number?

The NPI number for Health Clinics Of Utah is 1982669982. It was assigned to this organization in the NPPES registry on April 20, 2006. The provider is also known as State Of Utah.

Where is Health Clinics Of Utah located?

Health Clinics Of Utah is located at 150 E. Center St. #1100, Provo, UT 84606. The listed phone number is (801) 374-7011.

What is Health Clinics Of Utah's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Public Health, State or Local, with taxonomy code 261QP0905X.

Is Health Clinics Of Utah enrolled in Medicare?

Yes. Health Clinics Of Utah is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Health Clinics Of Utah?

According to the CMS Revalidation Reassignment List (October 2026 release), 84 clinicians in 9 Medicare specialties reassign their Medicare billing to Health Clinics Of Utah. 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. The largest specialties are Clinical Social Worker (27), Psychiatry (14) and Clinical Psychologist (13). Of these, 64 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 Health Clinics Of Utah was last updated on May 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.