OrganizationActive
Ashley Valley Physician Practice LLC
NPI 1871834960 · Rural Health Clinic/Center · Roosevelt, UT
Provider details
- NPI number
- 1871834960
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Ashley Valley Physician Practice LLC
- Organization subpart
- Yes
- Authorized official
- Charlotte Lawrence, Secretary(615) 920-7000
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
409 S 200 E
Roosevelt, UT 84066-3314
Phone: (435) 781-0757
Fax: (435) 781-2628
Approximate (ZIP-level) locationGet directions
Mailing address
409 S 200 E
Roosevelt, UT 84066-3314
Other names (DBA / former)
- Doing business as
- Roosevelt Community Clinic
- Doing business as
- Roosevelt Community Clinic
Registry dates
- Enumerated
- 2013-03-14
- Last updated
- 2024-09-18
- Certified
- 2024-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.