GREGORY IVERSON FAMILY MEDICINE PLLC (NPI# 1720379936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720379936 |
| Entity Type | Organization |
| Organization Name | GREGORY IVERSON FAMILY MEDICINE PLLC |
| Other Organization Name | COALVILLE HEALTH CENTER |
| Practice Address |
142 South 50 East Coalville UT 84017-0865 |
| Mailing Address |
Po Box 865 Coalville UT 84017-0865 |
| Practice Telephone | 4353364403 |
| Practice Fax Number | 4353365570 |
| Mailing Telephone | 4353364403 |
| Mailing Fax Number | 4353365570 |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2011-11-30 |
| Authorized Official Name | DR. GREGORY DENNIS IVERSON (FAMILY PHYSICIAN/MANAGING MEMBER) |
| Authorized Official Telephone | 4353364403 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
7261660-1204 | UT | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Coalville Health Center | Doing Business As Name - Organization |
| Street Address |
142 SOUTH 50 EAST |
| City | COALVILLE |
| State | UT |
| Zip Code | 84017-0865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962469395 | Gregory D Iverson | Family Medicine | 142 South 50 East, Coalville, UT 84107 | 2006-04-28 |
| 1265602411 | Toole & Associates | Specialist | 142 South 50 East, Coalville, UT 84017 | 2008-03-04 |
| 1538344411 | Donald Wain Allen | Clinic/Center | 142 South 50 East, Coalville, UT 84017 | 2008-01-09 |
| 1962617290 | Douglas B Toole | Physical Therapist | 142 South 50 East, Coalville, UT 84017 | 2007-05-11 |
| 1942224050 | Donald Wain Allen | Family Medicine | 142 South 50 East, Pob 865, Coalville, UT 84017-0865 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487866208 | Jeanette Vernon | Physician Assistant | 82 No 50 East, Coalville, UT 84017 | 2007-05-04 |
| 1164577201 | Brweye Inc | Optometrist | 82 North 50 East, Coalville, UT 84017 | 2007-01-25 |
| 1780731992 | Peak Performance Physical Therapy and Fitness | Physical Therapist | 23 South Main Street, Coalville, UT 84017 | 2007-01-03 |
| 1629159637 | County of Summit | Public Health or Welfare | 85 North 50 East, Coalville, UT 84017 | 2006-10-17 |
| 1336154103 | Peak Performance Pt | Physical Therapist | 23 South Main, Coalville, UT 84017 | 2006-07-30 |
| 1821266883 | Jean Paskett | Registered Nurse | 85 North 50 East, Coalville, UT 84017 | 2008-02-13 |
| 1164676698 | Coalville Health Center | Clinic/Center | 142 S 50 East Suite 102, Pob 865, Coalville, UT 84017-0865 | 2008-11-11 |
| 1164448080 | Rodney Edward Wade | Physical Therapist | 142 N 50 E # 101, Coalville, UT 84017-5500 | 2006-07-14 |
| 1891976783 | Jason Milton Harper | Family Medicine | 142 S 50 E, Coalville, UT 84017-5542 | 2007-11-19 |
| 1164845517 | Bruce Wayne Carlin | Urology | 375 Old Farm Ln, Coalville, UT 84017-6706 | 2014-01-21 |
| Find all providers in zip 84017 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538344411 | Donald Wain Allen | Clinic/Center | 142 South 50 East, Coalville, UT 84017 | 2008-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992980866 | Donald Wain Allen | Clinic/Center | 228 West 200 South, Suite 2, Kamas, UT 84036-0159 | 2008-01-09 |
| 1558558627 | Robert L Smith Dc PC | Clinic/Center | 55 E Center St, Panguitch, UT 84759 | 2007-10-02 |
| 1649472796 | Garfield County | Clinic/Center | 110 S 100 E, Circleville, UT 84723 | 2007-06-01 |
| 1619179751 | Garfield County | Clinic/Center | 65 N Center, Escalante, UT 84726-0276 | 2007-06-01 |
| 1790987840 | Garfield County | Clinic/Center | 425 E State St, Orderville, UT 84758 | 2007-06-01 |
| 1013119155 | Garfield County | Clinic/Center | 25 S Redrock Dr, Cannonville, UT 84718-8001 | 2007-06-01 |
| 1659402774 | Mountain Utah Family Medicine | Clinic/Center | 850 North Main St, Ste 3, Richfield, UT 84701-1848 | 2007-03-08 |
| 1043845365 | C & B Family Practice | Clinic/Center | 4601 N 16750 W, Altonah, UT 84002-0332 | 2020-03-06 |
| 1871834960 | Ashley Valley Physician Practice LLC | Clinic/Center | 409 S 200 E, Roosevelt, UT 84066-3314 | 2013-03-14 |
| 1043501257 | Gregory Iverson Family Medicine, Pllc | Clinic/Center | 228 West 200 South, Kamas, UT 84036-0159 | 2011-04-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.