# UTAH COUNTY MEDICAL ASSOCIATES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UTAH COUNTY MEDICAL ASSOCIATES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1821321597
- **Legal business name:** UTAH COUNTY MEDICAL ASSOCIATES
- **Authorized official:** MR. CHRIS CROCKETT (EXECUTIVE ADMINISTRATOR)
- **Authorized official phone:** (801) 465-4899

## Contact information

- **Practice address:** 376 E 400 S, SPRINGVILLE, UT 84663-1977
- **Practice address phone:** (801) 477-1400
- **Practice address fax:** (801) 489-0777
- **Mailing address:** 97 PROFESSIONAL WAY, SUITE 2, PAYSON, UT 84651-1614
- **Mailing address phone:** (801) 465-4896
- **Mailing address fax:** (801) 465-3267

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 175869-1205 | UT | — |
| 207Q00000X | Family Medicine Physician | 184332-1205 | UT | — |
| 207V00000X | Obstetrics & Gynecology Physician | 7376450-1204 | UT | Yes |

## Other

- **Enumeration date:** 09/14/2009
- **Last updated:** 11/19/2009