REVERE HEALTH – NPI #1508896838
Family Medicine

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.

REVERE HEALTH is a provider located in PAYSON, UT. NPPES has assigned the NPI number 1508896838 to REVERE HEALTH on July 03, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “REVERE HEALTH” is a dba name, the actual legal business name for this organization is CENTRAL UTAH CLINIC, P.C.. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 8 years ago on Mar 07, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for REVERE HEALTH below.

NPI Profile for
CENTRAL UTAH CLINIC, P.C.

NPI Number
1508896838
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CENTRAL UTAH CLINIC, P.C.
Doing Business As (dba): REVERE HEALTH
Primary location
97 S PROFESSIONAL WAY
SUITE 2
PAYSON, UT 84651-1614
Phone: (801) 465-4896 Fax: (801) 465-4107
Mailing address
1055 N 500 W
ATTN: CREDENTIALING
PROVO, UT 84604-3305
Phone: (801) 354-8225 Fax: (801) 418-0941
Organization Subpart
No
Authorized Official
JED HARSTON
DIRECTOR OF MANAGED CARE
Phone: (801) 812-5012
Updated
Identifiers

Identifiers for REVERE HEALTH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDUT870609595000
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.