OrganizationActive
Central Utah Clinic, P.C.
NPI 1316330749 · Non-Pharmacy Dispensing Site · Provo, UT
Central Utah Clinic, P.C. is a Non-Pharmacy Dispensing Site organization in Provo, UT (NPI 1316330749).
Provider details
- NPI number
- 1316330749
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Jed Harston, Director of Managed Care(801) 812-5012
- License
- 9847128-1725 (UT)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1055 N 500 W Ste 202
Provo, UT 84604-3305
Phone: (801) 374-2367
Fax: (801) 429-8015
Street-level locationGet directions
Mailing address
1055 N 500 W
Provo, UT 84604-3305
Other names (DBA / former)
- Other name
- Oncology Dispensing Medical Practice
- Other name
- Oncology Pharmacy
- Doing business as
- Revere Health
- Doing business as
- Revere Health
Registry dates
- Enumerated
- 2015-03-10
- Last updated
- 2018-06-16
Frequently asked questions
- What is Central Utah Clinic, P.C.'s NPI number?
- Central Utah Clinic, P.C.'s National Provider Identifier (NPI) is 1316330749, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Central Utah Clinic, P.C.?
- Central Utah Clinic, P.C. is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Central Utah Clinic, P.C. located?
- Central Utah Clinic, P.C.'s practice location on file with NPPES is 1055 N 500 W Ste 202, Provo, UT 84604-3305.
- What is Central Utah Clinic, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Central Utah Clinic, P.C. is (801) 374-2367.
- Who is the authorized official for Central Utah Clinic, P.C.?
- The authorized official listed on Central Utah Clinic, P.C.'s NPPES record is Jed Harston, Director of Managed Care. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Central Utah Clinic, P.C.'s NPI active?
- Yes — Central Utah Clinic, P.C.'s NPI (1316330749) is active in the NPPES registry as of the last update on 2018-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.