Vernal Urgent Care LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

VERNAL URGENT CARE LLC

Doing business as

Vernal Urgent Care

Practice address

872 W Highway 40
Vernal, UT 84078-2416

Phone

(435) 789-6677

Fax

(435) 789-6677

NPI assigned

Nov 20, 2018

Last updated

Jan 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shaun C Shurtliff, DONPI 1285719294

Title

Owner

Phone

(435) 781-8899

Specialties & licenses 1

Addresses

Other names 1

• Vernal Urgent Care Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

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.

• Shaun C Shurtliff, DO

  • Family Medicine Physician
  • Vernal, UT
  • NPI 1285719294
  Medicare reassignment Care Compare group NPD Authorized official
• Joe Porter, P.A.

  • Physician Assistant
  • Vernal, UT
  • NPI 1265780258
  Medicare reassignment Care Compare group
• Michael Wilson, P.A.

  • Physician Assistant
  • Vernal, UT
  • NPI 1831325752
  Medicare reassignment Care Compare group
• Christina Thacker, FNP-C

  • Family Nurse Practitioner
  • Roosevelt, UT
  • NPI 1699225730
  Medicare reassignment NPD
• Tiffany Petterborg, PA-C

  • Physician Assistant
  • Hillsboro, OR
  • NPI 1457841397

  UT

  Medicare reassignment NPD
• Cameron Phillip Hardy, P.A.C

  • Physician Assistant
  • Vernal, UT
  • NPI 1912274432
  Medicare reassignment
• Ashley Lynn Russell, FNP-C

  • Family Nurse Practitioner
  • Vernal, UT
  • NPI 1497402887
  NPD

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1376012336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "872 W HIGHWAY 40",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782416",
            "telephone_number": "435-789-6677",
            "fax_number": "435-789-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "872 W HIGHWAY 40",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782416",
            "telephone_number": "435-789-6677",
            "fax_number": "435-789-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNAL URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-20",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "SHURTLIFF",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-781-8899",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vernal Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vernal Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valley Medical Equipment Inc (Valley Home Medical)
• Ella McKenna Vance
• Marcos Kimball Vaughn
• Dulce Paloma Vega Quijas
• Vernal Family Medicine
• Amber Lee Vesely
• Wal-Mart Stores, Inc (Vision Center 30-1572)
• Walgreen Co (Walgreens #12480)
• Sheila Wallace
• Walmart Inc.

• Urgent Care Clinic/Center in Vernal, UT
• Providers in Vernal, UT by specialty
• Urgent Care Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.