REVERE HEALTH – NPI #1841433927
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Health Care Provider Taxonomy Code for Urology

REVERE HEALTH is an urologist located in PAYSON, UT. NPPES has assigned the NPI number 1841433927 to REVERE HEALTH on April 20, 2009. 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 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

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
1841433927
Enumeration Date

(more than 17 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
15 S 1000 E
SUITE 225
PAYSON, UT 84651-5590
Phone: (801) 465-2511 Fax:
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
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
208800000X
- Urology (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.