| Central Valley Medical Center | |
|
48 W 1500 N Nephi UT 84648-8900 | |
| (435) 623-3000 | |
| (435) 623-3145 |
| Full Name | Central Valley Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 48 W 1500 N, Nephi, Utah |
| Authorized Official Name and Position | Brent Davis (CFO) |
| Authorized Official Contact | 4356233000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Valley Medical Center 48 W 1500 N Po Box 120 Nephi UT 84648-8900 Ph: (435) 623-3000 | Central Valley Medical Center 48 W 1500 N Nephi UT 84648-8900 Ph: (435) 623-3000 |
| NPI Number | 1992724975 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 06/08/2017 |
| Medicare PECOS PAC ID | 2668380460 |
|---|---|
| Medicare Enrollment ID | O20040419000626 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992724975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jerald B Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083631659 PECOS PAC ID: 7113810730 Enrollment ID: I20040205001301 |
| Provider Name | John B Sorensen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699865220 PECOS PAC ID: 4082500533 Enrollment ID: I20040223001159 |
| Provider Name | Stanton A Bailey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407873011 PECOS PAC ID: 3779575246 Enrollment ID: I20040402000518 |
| Provider Name | Grant J Rasmussen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275563751 PECOS PAC ID: 4082517958 Enrollment ID: I20050622000824 |
| Provider Name | Daniel Dennis Alsup |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770658684 PECOS PAC ID: 4486671039 Enrollment ID: I20051102000146 |
| Provider Name | James M Besendorfer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194741629 PECOS PAC ID: 9436177904 Enrollment ID: I20051103000729 |
| Provider Name | Mark C Oveson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417974098 PECOS PAC ID: 7214956697 Enrollment ID: I20051115000506 |
| Provider Name | Michael Cary Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902827322 PECOS PAC ID: 2062436207 Enrollment ID: I20060116000082 |
| Provider Name | Marc F Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962572487 PECOS PAC ID: 5890881759 Enrollment ID: I20080916000022 |
| Provider Name | James F Rosenbeck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437329281 PECOS PAC ID: 7618044843 Enrollment ID: I20080930000206 |
| Provider Name | Joel E Holman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134394893 PECOS PAC ID: 0547306839 Enrollment ID: I20090929000587 |
| Provider Name | Mark T Saunders |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508828104 PECOS PAC ID: 6103954086 Enrollment ID: I20100513000769 |
| Provider Name | Reed J Skinner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427259415 PECOS PAC ID: 9638295520 Enrollment ID: I20100928001657 |
| Provider Name | Emily Spencer Poff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720316714 PECOS PAC ID: 9234323429 Enrollment ID: I20101102000199 |
| Provider Name | Jared J Pikus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164650289 PECOS PAC ID: 4880882406 Enrollment ID: I20101227000436 |
| Provider Name | Christie L Mangelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881629442 PECOS PAC ID: 9638367162 Enrollment ID: I20101227000782 |
| Provider Name | Paul B Dommer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508190117 PECOS PAC ID: 7911030085 Enrollment ID: I20130806000487 |
| Provider Name | Jason Neilsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164802062 PECOS PAC ID: 9032405204 Enrollment ID: I20160914001958 |
| Provider Name | Jason Rock Standring |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760893713 PECOS PAC ID: 6800118555 Enrollment ID: I20170803002978 |
| Provider Name | Chris K Karrasch |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225323744 PECOS PAC ID: 0042503328 Enrollment ID: I20170914004195 |
| Provider Name | Todd Anthone Larson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326082769 PECOS PAC ID: 2961581848 Enrollment ID: I20180523001886 |
| Provider Name | Michael James Henstrom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962580654 PECOS PAC ID: 5991896631 Enrollment ID: I20220531002633 |
| Provider Name | Dallin Richard Kilpack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992465637 PECOS PAC ID: 3971975368 Enrollment ID: I20230213001236 |
| Provider Name | Brandon R Beck |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528478294 PECOS PAC ID: 1052734704 Enrollment ID: I20230612001150 |
| Provider Name | Daniel Elling Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487278966 PECOS PAC ID: 8022432038 Enrollment ID: I20231204003575 |
| Provider Name | Jason L Forgeon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952961732 PECOS PAC ID: 7214262518 Enrollment ID: I20231211002779 |
| Provider Name | J David Sule |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1437130515 PECOS PAC ID: 6709892839 Enrollment ID: I20240805001972 |
| Provider Name | Kristopher Robert Tatton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720899966 PECOS PAC ID: 0446772354 Enrollment ID: I20250320001870 |