Healthcare Provider Details

I. General information

NPI: 1255251039
Provider Name (Legal Business Name): PRIME MERIDIAN HEALTH CLINICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 S 1300 W
PLEASANT GROVE UT
84062-3761
US

IV. Provider business mailing address

360 S 1300 W
PLEASANT GROVE UT
84062-3761
US

V. Phone/Fax

Practice location:
  • Phone: 385-440-1400
  • Fax:
Mailing address:
  • Phone: 385-440-1400
  • Fax: 801-845-9965

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: KEYLA VILORIO
Title or Position: CLINIC OPERATIONS MANAGER
Credential:
Phone: 561-301-3784