OrganizationActive
Central Utah Clinic, P.C.
NPI 1174642102 · Radiology Clinic/Center · St George, UT
Provider details
- NPI number
- 1174642102
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jed Harston, Director of Managed Care(801) 812-5012
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1490 E Foremaster Dr Bldg C
St George, UT 84790-4550
Phone: (435) 986-2238
Fax: (435) 986-2237
Approximate (ZIP-level) locationGet directions
Mailing address
1055 N 500 W
Provo, UT 84604-3305
Other names (DBA / former)
- Doing business as
- Revere Health
Registry dates
- Enumerated
- 2007-03-29
- Last updated
- 2018-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.