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Centerville Medical Center

Multi-Specialty Clinic/Center in West Jordan, UT · enumerated 2012 · authorized official Robert Park, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205187325

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Registry record

Entity type Organization (Type 2)
Legal business name Centerville Medical Center
Other name <Unavail>
Parent organization Centerville Medical Center
Practice address 6783 S Redwood Rd, Suite 104, West Jordan, UT, 84084
Fax (801) 268-0198
Enumeration date Sep 28, 2012
Last updated in NPPES Feb 27, 2014

Taxonomy & classification

261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Robert Park
Title Ceo

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Centerville Medical Center?
Centerville Medical Center is registered in NPPES as a Multi-Specialty Clinic/Center (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-02-27.