| Centre Health Group | |
|
933 E 1910 S Ste 102 Provo UT 84606-5562 | |
| (801) 882-2799 | |
| (888) 908-0805 |
| Full Name | Centre Health Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 933 E 1910 S Ste 102, Provo, Utah |
| Authorized Official Name and Position | Abbey Bell (OWNER) |
| Authorized Official Contact | 8017175395 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centre Health Group 933 E 1910 S Ste 102 Provo UT 84606-5562 Ph: (801) 882-2799 | Centre Health Group 933 E 1910 S Ste 102 Provo UT 84606-5562 Ph: (801) 882-2799 |
| NPI Number | 1851917496 |
|---|---|
| Provider Enumeration Date | 06/19/2020 |
| Last Update Date | 02/04/2022 |
| Medicare PECOS PAC ID | 7214356997 |
|---|---|
| Medicare Enrollment ID | O20200929003556 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851917496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Terrell L Sellers |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1033373865 PECOS PAC ID: 1254388135 Enrollment ID: I20050402000042 |
| Provider Name | David H Workman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659329449 PECOS PAC ID: 2961425590 Enrollment ID: I20060110000788 |
| Provider Name | James E Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285277798 PECOS PAC ID: 8426432725 Enrollment ID: I20220906002452 |
| Provider Name | Brittany Lamb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750003778 PECOS PAC ID: 3072986801 Enrollment ID: I20230227001367 |
| Provider Name | Brian Mark Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023715513 PECOS PAC ID: 9931573912 Enrollment ID: I20230314001229 |
| Provider Name | Kjarstena Marie Hooker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790428241 PECOS PAC ID: 1951776897 Enrollment ID: I20230407000295 |
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