Unknown Individual – Case Manager/Care Coordinator, NPI 1104077825

Unknown Individual is a healthcare provider. based in Vernal, Utah. specializing in Case Manager/Care Coordinator. The NPI Number for Unknown Individual is 1104077825

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1104077825
Phone
(435) 789-6300
Address
1140 W 500 S
Deactivation Date
16 October 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 1140, West 500 South, Vernal, Uintah County, Utah, 84078, United States

    PO BOX 1908

    VERNAL, UT 840782914

    Phone: (435) 789-6300

    Fax: (435) 789-6325

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84078)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1104077825 if you need a stable reference for Unknown Individual.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Case Manager/Care Coordinator. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Utah?
You will see Vernal, Utah on file for Unknown Individual alongside any extra practice locations.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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