Active NPI
Valley Family Clinic Inc
- Health Service Clinic/Center
- Vernal, UT
National Provider Identifier
1922192913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 18896-4405
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandra Dollene Rust, DNP, FNP, APRN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 524960943001 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Vernal, UT
- NPI 1992251268
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.