PURE HEALTHCARE OF UTAH, LLC – Multi-Specialty Clinic/Center, NPI 1831782994
Multi-Specialty Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PURE HEALTHCARE OF UTAH, LLC
4179 S RIVERBOAT RD STE 170
TAYLORSVILLE, UT 841232702
Phone: (385) 276-3945
Fax: (801) 852-0999
Type: Location
4179 S RIVERBOAT RD STE 220
TAYLORSVILLE, UT 841232986
Phone: (801) 755-3387
Type: Mailing
222 S MAIN ST STE 500
SALT LAKE CITY, UT 841012275
Phone: (855) 550-3358
Type: Location
437 S Bluff St Ste 201
St George, UT 847703555
Phone: (435) 523-4040
Fax: (435) 359-5218
Type: Location
947 S 500 E Ste 302
American Fork, UT 840033370
Phone: (801) 921-6530
Fax: (801) 772-9874
Type: Location
1492 W Antelope Dr Ste 211
Layton, UT 840411139
Phone: (385) 382-1440
Fax: (801) 991-3306
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-07-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20210707000907 | O | Clinic/Group Practice | UT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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 84123)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.