NPIMap

Organization Active NPI

Central Utah Public Health Department

  • Public Health or Welfare Agency
  • Richfield, UT
National Provider Identifier
1073626412
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
CENTRAL UTAH PUBLIC HEALTH DEPARTMENT
Practice address
70 Westview Dr
Richfield, UT 84701-1868
Phone
(435) 896-5451
Fax
(435) 896-4353
NPI assigned
Aug 17, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Bruce G Costa
Title
Health Officer
Phone
(435) 896-5451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X UT Primary

Addresses

Primary practice location

70 Westview Dr
Richfield, UT 84701-1868

Mailing address

70 Westview Dr
Richfield, UT 84701-1868
Phone (435) 896-5451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120418000721 UT Part B Supplier - Public Health/Welfare Agency 0941461925 Practice locations: Richfield, UT

National Provider Directory

National Provider Directory
Tax ID family
Central Utah Public Hea2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

362 W Main St
Ste 1
Delta, UT 84624

40 N 400 W
Fillmore, UT 84631

18 S Main St
Loa, UT 84747
Phone (435) 836-1316

125 N 100 E
Manti, UT 84642

40 W 200 N
Manti, UT 84642
Phone (435) 835-2231

70 W Westview Dr
Richfield, UT 84701
Phone (435) 896-5451

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1073626412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 WESTVIEW DR",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847011868",
            "telephone_number": "435-896-5451",
            "fax_number": "435-896-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 WESTVIEW DR",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847011868",
            "telephone_number": "435-896-5451",
            "fax_number": "435-896-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL UTAH PUBLIC HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "COSTA",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "435-896-5451",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richfield, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.