OrganizationActive
Canyon Care LLC
NPI 1417509860 · Family Medicine Physician · Alta, UT
Provider details
- NPI number
- 1417509860
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kenneth Libre, Medical Director(801) 742-9820
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
10160 E State Highway 210 Ste 2
Alta, UT 84092-9509
Phone: (801) 742-9820
Street-level locationGet directions
Mailing address
Po Box 8072
Alta, UT 84092-8072
Registry dates
- Enumerated
- 2019-07-15
- Last updated
- 2019-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.