| Revere Health | |
|
97 S Professional Way Suite 2 Payson UT 84651-1614 | |
| (801) 465-4896 | |
| (801) 465-4107 |
| Full Name | Revere Health |
|---|---|
| Speciality | Family Medicine |
| Location | 97 S Professional Way, Payson, Utah |
| Authorized Official Name and Position | Jed Harston (DIRECTOR OF MANAGED CARE) |
| Authorized Official Contact | 8018125012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revere Health 1055 N 500 W Attn: Credentialing Provo UT 84604-3305 Ph: (801) 354-8225 | Revere Health 97 S Professional Way Suite 2 Payson UT 84651-1614 Ph: (801) 465-4896 |
| NPI Number | 1508896838 |
|---|---|
| Provider Enumeration Date | 07/03/2006 |
| Last Update Date | 03/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508896838 | NPI | - | NPPES |
| 870609595000 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Wesley Shayne Bott Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 238 E 400 S, Payson, UT 84651 Phone: 801-658-9094 Fax: 801-658-9094 | |
Stone Creek Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 910 E 100 N, Ste 105, Payson, UT 84651 Phone: 801-465-1555 Fax: 801-465-1333 | |
South Payson Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 828 S 1040 W, Payson, UT 84651 Phone: 940-634-1977 | |
Reveal Medspa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 814 S 1040 W, Payson, UT 84651 Phone: 385-551-2929 | |
Elk Ridge Family Practice Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1172 E 100 N Ste 11, Payson, UT 84651 Phone: 801-465-6100 Fax: 801-465-6114 | |
Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 772 E 100 N, Suite #6, Payson, UT 84651 Phone: 801-376-2052 Fax: 801-465-6161 |