OrganizationActive
Health Clinics of Utah
NPI 1982669982 · State or Local Public Health Clinic/Center · Provo, UT
Provider details
- NPI number
- 1982669982
- Entity type
- Organization
- Primary specialty
- State or Local Public Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stacey Keyes, Health Program Representative-Bille(801) 626-3353
- License
- 105991-1206 (UT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
150 E. Center St.
#1100
Provo, UT 84606
Phone: (801) 374-7011
Fax: (801) 374-7009
Approximate (ZIP-level) locationGet directions
Mailing address
150 E Center St.
Provo, UT 84606
Other names (DBA / former)
- Other name
- State of Utah
Registry dates
- Enumerated
- 2006-04-20
- Last updated
- 2012-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.