Roosevelt Community Clinic – Family Medicine Physician, NPI 1518247709

Family Medicine Physician

Roosevelt Community Clinic is a healthcare provider. based in Roosevelt, Utah. specializing in Family Medicine Physician. The NPI Number for Roosevelt Community Clinic is 1518247709

Main info

Organization

Name

Roosevelt Community Clinic

NPI

1518247709

Phone

(435) 725-3327

Address

409 S 200 E

Authorized Official

CHARLOTTE LAWRENCE SECRETARY

Enumeration Date

19 August 2011

Last Update Date

18 September 2024

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience43

Completeness80

Years active:14State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Roosevelt Community Clinic

409 S 200 E
ROOSEVELT, UT 840663314
Phone: (435) 725-3327
Fax: (435) 725-3331
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.

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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 84066)

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Reviews

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Frequently asked questions

What number should I use to identify Roosevelt Community Clinic for billing?

Administrative and clinical systems typically use NPI 1518247709 for Roosevelt Community Clinic.

Quick check: is Roosevelt Community Clinic active?

Public NPPES data shows Roosevelt Community Clinic with an active NPI status right now.

Which specialty label fits Roosevelt Community Clinic?

NPPES ties Roosevelt Community Clinic to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.

Which community is linked to Roosevelt Community Clinic?

Roosevelt Community Clinic shows a connection to Roosevelt, Utah in registry-derived data.

Why is information missing for Roosevelt Community Clinic?

Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.