Northeastern Utah Medical Group
NPI 1982664199ActiveOrganization· Family Medicine· Roosevelt, UT
Family Medicine in Roosevelt, Utah, registered in NPPES in March 2006. The authorized official on file is Brent H. Hales, Cfo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1982664199 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 23, 2006 |
| Last updated in NPPES | Oct 23, 2025 |
| Certified by provider | Oct 23, 2025 |
Specialties and licenses
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) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
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