# CENTRAL VALLEY MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nephi Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992724975
- **Authorized official:** BRENT DAVIS (CFO)
- **Authorized official phone:** (435) 623-3000

## Contact information

- **Practice address:** 48 W 1500 N, NEPHI, UT 84648-8900
- **Practice address phone:** (435) 623-3000
- **Practice address fax:** (435) 623-3145
- **Mailing address:** 48 W 1500 N, PO BOX 120, NEPHI, UT 84648-8900
- **Mailing address phone:** (435) 623-3000
- **Mailing address fax:** (435) 623-3145

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/19/2006
- **Last updated:** 06/08/2017
