Cedar Creek Family Health Care LLC
NPI 1639323280ActiveOrganization· Clinic/Center· Tooele, UT
Clinic/Center in Tooele, Utah, registered in NPPES in November 2008. The authorized official on file is Lu Ann Jacobs-Peterson, APRN, Fnp.
Overview
| NPI | 1639323280 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 10, 2008 |
| Last updated in NPPES | Apr 2, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | 219855-8900 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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