Organization Active NPI

Valley Family Clinic Inc

  • Health Service Clinic/Center
  • Vernal, UT
National Provider Identifier
1922192913
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
18896-4405 Issued in UT
Legal business name
VALLEY FAMILY CLINIC INC
Practice address
285 E 100 S
Vernal, UT 84078-2636
Phone
(435) 789-0064
Fax
(435) 789-0537
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Authorized official

Name
Sandra Dollene Rust, DNP, FNP, APRNNPI 1992251268
Title
Aprn
Phone
(435) 789-0064

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 18896-4405 UT Primary

Addresses

Primary practice location

285 E 100 S
Vernal, UT 84078-2636

Mailing address

PO Box 189
Vernal, UT 84078-0121
Phone (435) 789-0064

Other identifiers 1

IdentifierTypeStateIssuer
524960943001MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101112000335 UT Part B Supplier - Clinic/Group Practice 7719172030 Receives reassigned benefits from 1 practitioner
Practice locations: Vernal, UT

National Provider Directory

National Provider Directory

Locations

266 W 100 N
Ste 6
Vernal, UT 84078
Phone (435) 789-0064

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1922192913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840780121",
            "telephone_number": "435-789-0064",
            "fax_number": "435-789-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 E 100 S",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782636",
            "telephone_number": "435-789-0064",
            "fax_number": "435-789-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY FAMILY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "RUST",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "DOLLENE",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "435-789-0064",
        "authorized_official_credential": "DNP, FNP, APRN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "UT",
            "license": "18896-4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "524960943001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernal, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.