Life Integrative Health Center
NPI 1063833721ActiveOrganization· Clinic/Center· Provo, UT
Clinic/Center in Provo, Utah, registered in NPPES in December 2013. The authorized official on file is Kendra Bernal, MA, Clinical Administrator.
Overview
| NPI | 1063833721 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 26, 2013 |
| Last updated in NPPES | Apr 9, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | — |
| Clinic/Center, Health Services | 261QH0100X | NOT REQUIRED | UT |
| Clinic/Center, Health Services | 261QH0100X | 0000000 | UT |
| Clinic/Center, Adult Mental Health | 261QM0850X | NOT REQUIRED | UT |
| Clinic/Center, Adult Mental Health | 261QM0850X | 00000000000 | UT |
| Clinic/Center, Adolescent and Children Mental Health | 261QM0855X | NOT REQUIRED | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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