Mountain Utah Family Medicine

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

463813 Issued in UT

Legal business name

MOUNTAIN UTAH FAMILY MEDICINE

Practice address

879 N Main St
Richfield, UT 84701-1840

Phone

(435) 896-9561

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David M PopeNPI 1467554451

Title

MD

Phone

(435) 896-9561

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT2 enrollments

Enrollment records 2

Rural health clinic certification: CCN 463813

Legal name

MOUNTAIN UTAH FAMILY MEDICINE

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

May 15, 1995

Last certification

Aug 27, 2019

Ownership / control type

1B

Organization structure

CorporationProprietary

Incorporated

Aug 1, 1994 in UT

Enrollment address

879 N Main St
Richfield, UT 84701-1840

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

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• David M Pope, MD

  • Family Medicine Physician
  • Richfield, UT
  • NPI 1467554451

  5% Or Greater Direct Ownership Interest, Corporate Director

  CMS ownership

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David M Pope, MD

  • Family Medicine Physician
  • Richfield, UT
  • NPI 1467554451
  Medicare reassignment Care Compare group NPD Authorized official
• Rebekah Amy Patterson, FNP

  • Family Nurse Practitioner
  • Richfield, UT
  • NPI 1306801949

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Dixie S. Rasmussen, CNM

  • Advanced Practice Midwife
  • Richfield, UT
  • NPI 1740385046

  Rural Health

  Medicare reassignment Care Compare group NPD
• Russell Douglas Sorenson, PHD

  • Clinical Psychologist
  • Richfield, UT
  • NPI 1215298559
  Medicare reassignment Care Compare group NPD
• Brett Alan Seely, PA-C

  • Medical Physician Assistant
  • Richfield, UT
  • NPI 1801343801
  Medicare reassignment Care Compare group
• Blake O. Zobell, DPM

  • Podiatrist
  • Richfield, UT
  • NPI 1720026560
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1659402774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "879 N MAIN ST",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847011840",
            "telephone_number": "435-896-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "879 N MAIN ST",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847011840",
            "telephone_number": "435-896-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN UTAH FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "435-896-9561",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "UT",
            "license": "463813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528925279034",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chase Fred Mecham, DC
• Terrill Melville, RPH
• Teri Ann Miles Wehrli, PT ATC
• Mnkrehab
• Brandon Max Morrill, LCSW
• Mufm LLC.
• Alexis Murray
• Talia Napoli
• Spencer Tell Naser, MD
• Robert W Nentwich, P.A.

• Rural Health Clinic/Center in Richfield, UT
• Providers in Richfield, UT by specialty
• Rural Health Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.