Provider Demographics
NPI:1649204553
Name:UTAH VALLEY EMERGENCY PHYSICIANS INC
Entity Type:Organization
Organization Name:UTAH VALLEY EMERGENCY PHYSICIANS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:PATTEN
Authorized Official - Suffix:IX
Authorized Official - Credentials:MD
Authorized Official - Phone:877-346-2211
Mailing Address - Street 1:PO BOX 26974
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84126-0974
Mailing Address - Country:US
Mailing Address - Phone:877-346-2211
Mailing Address - Fax:616-975-9824
Practice Address - Street 1:1034 NORTH 500 WEST
Practice Address - Street 2:ER DEPARTMENT
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604
Practice Address - Country:US
Practice Address - Phone:877-346-2211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CN3687OtherRAILROAD MEDICARE
UT0006OtherHEALTHNET
UT=========016Medicaid
CN3687OtherRAILROAD MEDICARE
000002330Medicare PIN