Organization Active NPI

Bedrock Health Center, PLLC

  • Health Service Clinic/Center
  • Kaysville, UT
National Provider Identifier
1770050684
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
BEDROCK HEALTH CENTER, PLLC
Practice address
347 N 300 W Ste 203
Kaysville, UT 84037-1828
Phone
(801) 593-1660
Fax
(801) 593-1663
NPI assigned
Oct 29, 2018
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Tami L Pearce, FNP-C
Title
Owner/Manager
Phone
(801) 372-5899

Practitioners 3

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

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

NPPES NPI Registry

Primary practice location

347 N 300 W Ste 203
Kaysville, UT 84037-1828

Mailing address

347 N 300 W Ste 203
Kaysville, UT 84037-1828
Phone (801) 593-1660

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 29, 2018.

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1770050684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 N 300 W STE 203",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371828",
            "telephone_number": "801-593-1660",
            "fax_number": "801-593-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 N 300 W STE 203",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371828",
            "telephone_number": "801-593-1660",
            "fax_number": "801-593-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDROCK HEALTH CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "PEARCE",
        "authorized_official_first_name": "TAMI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "801-372-5899",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaysville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.