Tooele Valley Urgent Care LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

TOOELE VALLEY URGENT CARE LLC

Doing business as

Tooele Valley Urgent Care LLC

Practice address

1244 No. Main St., Ste 201
Tooele, UT 84074

Phone

(435) 882-3968

Fax

(435) 882-3859

NPI assigned

May 4, 2006

Last updated

Nov 30, 2018By 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

Valerie M Price

Title

Billing Manager

Phone

(435) 882-3968

Specialties & licenses 1

Addresses

Other names 1

• Tooele Valley Urgent Care LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12395/brand/1/csg/1/fhir/r4

Practitioners 1

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.

• William Brent Evans, MD

  • Personal Emergency Response Attendant
  • Tooele, TN
  • NPI 1811942964

  UT

  Medicare reassignment

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543536000000",
    "number": "1831147982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 N MAIN ST.",
            "address_2": "SUITE 201",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "84074",
            "telephone_number": "435-882-3968",
            "fax_number": "435-882-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 NO. MAIN ST., STE 201",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "84074",
            "telephone_number": "435-882-3968",
            "fax_number": "435-882-3859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOELE VALLEY URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2018-11-30",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "435-882-3968"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tooele Valley Urgent Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tooele PDC PLLC (Wasatch Orthodontics and Family Dentistry)
• Tooele Sober Living
• Tooele Valley Counseling PLLC
• Tooele Valley Imaging, LLC (First Choice Imaging)
• Tooele Valley Spine Center
• Kyle D Toone, PT
• Ryan Michael Tullis
• Ellen Gable Turgeon, DMD
• Shantalina M Tyler
• US Army Health Clinic (Ohc Tooele Army Depot)

• Urgent Care Clinic/Center in Tooele, UT
• Providers in Tooele, 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 Nov 30, 2018; 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.