Centre Health Group

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CENTRE HEALTH GROUP

Practice address

933 E 1910 S Ste 102
Provo, UT 84606-5562

Phone

(801) 882-2799

Fax

(888) 908-0805

NPI assigned

Jun 19, 2020

Organization subpart

No

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

Authorized official

Name

Abbey Bell, RN

Title

Owner

Phone

(801) 717-5395

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25864/brand/1/csg/1/fhir/r4

Practitioners 2

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

• Richard E Allen, M.D.

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1831174226
  NPD
• Jeanette Lynn Walker, APRN

  • Family Nurse Practitioner
  • Provo, UT
  • NPI 1427602507
  NPD (past)

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1851917496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 E 1910 S STE 102",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846065562",
            "telephone_number": "801-882-2799",
            "fax_number": "888-908-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 E 1910 S STE 102",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846065562",
            "telephone_number": "801-882-2799",
            "fax_number": "888-908-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRE HEALTH GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-19",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "ABBEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-717-5395",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Utah Enterprises
• Central Utah Eye Associates
• Central Utah Foot Clinic, LLC
• Central Utah Optical (Excel Eye Center)
• Central Utah Surgical Center L.L.C.
• Centre You Ketamine LLC
• Yael Cerero Perote
• Chad Christiansen, MD, LLC
• Melody Ann Chadsey, BA SSW
• Phillip Lee Chaffin Jr., MD

• Primary Care Clinic/Center in Provo, UT
• Providers in Provo, UT by specialty
• Primary Care Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.