Healthy Premier - Individual & Family Table of Contents · 01/10/2017 · Bienvenidos 10/01/2017 Page 9 Directories are subject to change. Members may be responsible for out-of-pocket

Healthy Premier - Individual & Family Table of Contents

GENERAL INFORMATION ..................................................................................................................................................... 7

WELCOME ........................................................................................................................................................................... 8

BIENVENIDOS ...................................................................................................................................................................... 9

PARTICIPATING FACILITIES & ANCILLARY SERVICES ........................................................................................................... 10

HOSPITALS ................................................................................................................................................................................ 10 URGENT CARE CENTERS ............................................................................................................................................................... 12 PUBLIC HEALTH CENTERS / CLINICS ................................................................................................................................................ 16 AMBULATORY SURGERY CENTERS .................................................................................................................................................. 18 DIABETES EDUCATION CENTERS .................................................................................................................................................... 19 DIABETES SUPPLY CENTERS .......................................................................................................................................................... 20 DIALYSIS CENTERS ...................................................................................................................................................................... 21 HEARING CENTERS ...................................................................................................................................................................... 22 HOME HEALTH AND HOSPICE / HOME INFUSION ............................................................................................................................. 23 HOME MEDICAL SUPPLIES / DURABLE MEDICAL EQUIPMENT (DME) ................................................................................................... 28 INFUSION SUITES ........................................................................................................................................................................ 35 LABORATORY / PATHOLOGY ......................................................................................................................................................... 35 LANGUAGE INTERPRETER SERVICES ................................................................................................................................................ 38 MAMMOGRAPHY SCREENING CENTERS ........................................................................................................................................... 38 RADIOLOGY / IMAGING CENTERS ................................................................................................................................................... 40 REHABILITATION SERVICES............................................................................................................................................................ 41 RESIDENTIAL MENTAL HEALTH FACILITIES ....................................................................................................................................... 41 SKILLED NURSING FACILITIES ......................................................................................................................................................... 42 SLEEP STUDY LABS ...................................................................................................................................................................... 45 VISION CENTERS (OPTICAL SUPPLIERS) ........................................................................................................................................... 45

PARTICIPATING PRIMARY CARE PROVIDERS ...................................................................................................................... 49

ADOLESCENT MEDICINE ............................................................................................................................................................... 49 FAMILY MEDICINE ...................................................................................................................................................................... 49 GENERAL PRACTICE ..................................................................................................................................................................... 98 HEALTH CENTER/CLINIC .............................................................................................................................................................. 99 INTERNAL MEDICINE ................................................................................................................................................................. 102 MULTISPECIALTY CLINIC ............................................................................................................................................................. 113 OBSTETRICS AND GYNECOLOGY ................................................................................................................................................... 155 PEDIATRICS ............................................................................................................................................................................. 175

PARTICIPATING SPECIALTY PROVIDERS ........................................................................................................................... 198

ADDICTION MEDICINE ............................................................................................................................................................... 198 ADDICTION PSYCHIATRY ............................................................................................................................................................. 198 ALLERGY AND IMMUNOLOGY ...................................................................................................................................................... 198 AUDIOLOGY............................................................................................................................................................................. 201 AUTISM .................................................................................................................................................................................. 207 CARDIAC ELECTROPHYSIOLOGY .................................................................................................................................................... 209 CARDIOLOGY, PEDIATRIC............................................................................................................................................................ 211 CARDIOVASCULAR DISEASE ......................................................................................................................................................... 216 CHILD AND ADOLESCENT PSYCHIATRY ........................................................................................................................................... 227 CHILD AND ADOLESCENT PSYCHOLOGY ......................................................................................................................................... 230 CHIROPRACTIC ......................................................................................................................................................................... 231 CLINICAL SOCIAL WORKER ......................................................................................................................................................... 239


COUNSELING ........................................................................................................................................................................... 258 DERMATOLOGY ........................................................................................................................................................................ 265 ENDOCRINOLOGY, DIABETES AND METABOLISM ............................................................................................................................. 275 ENDOCRINOLOGY, PEDIATRIC ...................................................................................................................................................... 277 FAMILY MEDICINE .................................................................................................................................................................... 279 FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY ............................................................................................................. 280 GASTROENTEROLOGY ................................................................................................................................................................ 280 GASTROENTEROLOGY, PEDIATRIC ................................................................................................................................................ 287 GENERAL PRACTICE ................................................................................................................................................................... 288 GENETIC COUNSELING ............................................................................................................................................................... 288 GENETICS - CLINICAL ................................................................................................................................................................. 288 GERIATRIC MEDICINE ................................................................................................................................................................ 290 GERIATRIC PSYCHIATRY .............................................................................................................................................................. 292 GYNECOLOGIC ONCOLOGY ......................................................................................................................................................... 292 HEALTH CENTER/CLINIC ............................................................................................................................................................ 292 HEMATOLOGY.......................................................................................................................................................................... 293 HEMATOLOGY/ONCOLOGY......................................................................................................................................................... 293 HEMATOLOGY/ONCOLOGY, PEDIATRIC ......................................................................................................................................... 300 HOSPICE AND PALLIATIVE MEDICINE ............................................................................................................................................ 301 HYPERBARIC MEDICINE / WOUND CARE ....................................................................................................................................... 302 INFECTIOUS DISEASE ................................................................................................................................................................. 303 INFECTIOUS DISEASES, PEDIATRIC ................................................................................................................................................ 304 INTERNAL MEDICINE ................................................................................................................................................................. 305 INTERVENTIONAL CARDIOLOGY.................................................................................................................................................... 308 MARRIAGE AND FAMILY THERAPY ................................................................................................................................................ 309 MATERNAL AND FETAL MEDICINE ................................................................................................................................................ 311 MENTAL HEALTH SERVICES ........................................................................................................................................................ 314 MIDWIFERY ............................................................................................................................................................................. 318 MULTISPECIALTY CLINIC ............................................................................................................................................................. 322 NEPHROLOGY .......................................................................................................................................................................... 323 NEPHROLOGY, PEDIATRIC........................................................................................................................................................... 328 NEURODEVELOPMENTAL DISABILITIES........................................................................................................................................... 328 NEUROLOGY ............................................................................................................................................................................ 329 NEUROLOGY - SPECIAL QUALIFICATION IN CHILD NEUROLOGY ........................................................................................................... 335 NEUROPHYSIOLOGY .................................................................................................................................................................. 338 NEUROPSYCHOLOGY ................................................................................................................................................................. 338 NEUROSURGERY ....................................................................................................................................................................... 339 NEUROSURGERY, PEDIATRIC ....................................................................................................................................................... 342 NUCLEAR CARDIOLOGY .............................................................................................................................................................. 342 NURSE PRACTITIONER ............................................................................................................................................................... 343 NURSE PRACTITIONER, WOMEN'S HEALTH .................................................................................................................................... 343 OBSTETRICS AND GYNECOLOGY ................................................................................................................................................... 343 OCCUPATIONAL MEDICINE ......................................................................................................................................................... 345 OCCUPATIONAL THERAPY ........................................................................................................................................................... 345 ONCOLOGY ............................................................................................................................................................................. 355 OPHTHALMOLOGY .................................................................................................................................................................... 357 OPTOMETRY ............................................................................................................................................................................ 367 OTOLARYNGOLOGY (ENT) ......................................................................................................................................................... 376 OTOLARYNGOLOGY, PEDIATRIC ................................................................................................................................................... 384


OTORHINOLARYNGOLOGY (ENT) ................................................................................................................................................. 385 PAIN MEDICINE ....................................................................................................................................................................... 385 PEDIATRICS ............................................................................................................................................................................. 390 PHYSICAL MEDICINE AND REHABILITATION .................................................................................................................................... 393 PHYSICAL THERAPY ................................................................................................................................................................... 398 PHYSICAL THERAPY, CLINICAL ELECTROPHYSIOLOGY ........................................................................................................................ 427 PHYSICAL THERAPY, ORTHOPAEDICS ............................................................................................................................................ 427 PODIATRY ............................................................................................................................................................................... 427 PSYCHIATRY............................................................................................................................................................................. 434 PSYCHOLOGY ........................................................................................................................................................................... 443 PULMONARY DISEASE................................................................................................................................................................ 453 PULMONOLOGY, PEDIATRIC ........................................................................................................................................................ 457 RADIATION ONCOLOGY ............................................................................................................................................................. 458 RECREATION THERAPY ............................................................................................................................................................... 461 REHABILITATION MEDICINE, PEDIATRIC ........................................................................................................................................ 462 REPRODUCTIVE ENDOCRINOLOGY AND INFERTILITY TESTING ............................................................................................................. 462 RHEUMATOLOGY ...................................................................................................................................................................... 463 RHEUMATOLOGY, PEDIATRIC ...................................................................................................................................................... 464 SLEEP MEDICINE ...................................................................................................................................................................... 465 SPEECH-LANGUAGE PATHOLOGY ................................................................................................................................................. 465 SPORTS MEDICINE .................................................................................................................................................................... 472 SURGERY - COLON AND RECTAL ................................................................................................................................................... 475 SURGERY - FOOT AND ANKLE ...................................................................................................................................................... 475 SURGERY - GENERAL ................................................................................................................................................................. 476 SURGERY - HAND ..................................................................................................................................................................... 485 SURGERY - ORAL AND MAXILLOFACIAL ......................................................................................................................................... 486 SURGERY - ORTHOPAEDIC .......................................................................................................................................................... 488 SURGERY - ORTHOPAEDIC SPINE .................................................................................................................................................. 505 SURGERY - ORTHOPAEDIC TRAUMA ............................................................................................................................................. 505 SURGERY - PLASTIC AND RECONSTRUCTIVE .................................................................................................................................... 505 SURGERY - PLASTIC, HEAD AND NECK ........................................................................................................................................... 507 SURGERY - THORACIC AND CARDIAC ............................................................................................................................................. 508 SURGERY - VASCULAR ............................................................................................................................................................... 510 SURGERY, PEDIATRIC ................................................................................................................................................................. 512 UROLOGY ............................................................................................................................................................................... 513 UROLOGY, PEDIATRIC ................................................................................................................................................................ 518 VASCULAR AND INTERVENTIONAL RADIOLOGY ................................................................................................................................ 518 VASCULAR NEUROLOGY ............................................................................................................................................................. 519

PARTICIPATING PROVIDERS WHO SPEAK OTHER LANGUAGES ........................................................................................ 520

AFRIKAANS .............................................................................................................................................................................. 520 ARABIC ................................................................................................................................................................................... 520 ARMENIAN .............................................................................................................................................................................. 522 BENGALI; BANGLA .................................................................................................................................................................... 522 BISLAMA ................................................................................................................................................................................. 522 BOSNIAN ................................................................................................................................................................................ 522 BULGARIAN ............................................................................................................................................................................. 523 CANTONESE ............................................................................................................................................................................ 523 CEBUANO ............................................................................................................................................................................... 524


CENTRAL KHMER; CAMBODIAN ................................................................................................................................................... 525 CHINESE ................................................................................................................................................................................. 525 CROATIAN ............................................................................................................................................................................... 528 CZECH .................................................................................................................................................................................... 528 DANISH .................................................................................................................................................................................. 529 DUTCH; FLEMISH ...................................................................................................................................................................... 530 EGYPTIAN ARABIC ..................................................................................................................................................................... 531 FINNISH .................................................................................................................................................................................. 531 FRENCH .................................................................................................................................................................................. 532 GERMAN ................................................................................................................................................................................ 544 GREEK .................................................................................................................................................................................... 556 GUJARATI ............................................................................................................................................................................... 557 HEBREW ................................................................................................................................................................................. 557 HINDI ..................................................................................................................................................................................... 558 HUNGARIAN ............................................................................................................................................................................ 563 ICELANDIC ............................................................................................................................................................................... 564 INDONESIAN ............................................................................................................................................................................ 564 ITALIAN .................................................................................................................................................................................. 565 JAPANESE................................................................................................................................................................................ 570 KANNADA ............................................................................................................................................................................... 575 KOREAN ................................................................................................................................................................................. 576 LAO ....................................................................................................................................................................................... 578 LATIN ..................................................................................................................................................................................... 579 LITHUANIAN ............................................................................................................................................................................ 579 MALAGASY ............................................................................................................................................................................. 579 MALAYALAM ........................................................................................................................................................................... 579 MANDARIN ............................................................................................................................................................................. 580 MARATHI ................................................................................................................................................................................ 584 NAVAJO; NAVAHO .................................................................................................................................................................... 584 NORWEGIAN ........................................................................................................................................................................... 584 PANJABI; PUNJABI .................................................................................................................................................................... 585 PERSIAN (FARSI) ...................................................................................................................................................................... 586 POLISH ................................................................................................................................................................................... 587 PORTUGUESE ........................................................................................................................................................................... 588 ROMANIAN; MOLDAVIAN; MOLDOVAN ........................................................................................................................................ 599 RUSSIAN ................................................................................................................................................................................. 600 SERBIAN ................................................................................................................................................................................. 604 SIGN LANGUAGE ...................................................................................................................................................................... 604 SINHALA; SINHALESE ................................................................................................................................................................. 608 SLOVAK .................................................................................................................................................................................. 608 SLOVENIAN ............................................................................................................................................................................. 608 SOMALI .................................................................................................................................................................................. 608 SPANISH ................................................................................................................................................................................. 608 SWAHILI ................................................................................................................................................................................. 677 SWEDISH ................................................................................................................................................................................ 677 TAGALOG (FILIPINO) ................................................................................................................................................................. 678 TAIWANESE ............................................................................................................................................................................. 681 TAMIL .................................................................................................................................................................................... 681 TELUGU .................................................................................................................................................................................. 682


THAI ...................................................................................................................................................................................... 683 TONGA (TONGA ISLANDS) .......................................................................................................................................................... 684 TURKISH ................................................................................................................................................................................. 685 UKRAINIAN ............................................................................................................................................................................. 686 URDU .................................................................................................................................................................................... 686 VIETNAMESE ........................................................................................................................................................................... 687 YORUBA ................................................................................................................................................................................. 689

INDEX .............................................................................................................................................................................. 690

Healthy Premier - Individual & Family General Information

10/01/2017 Page 7

Directories are subject to change. Members may be responsible for out-of-pocket expenses if a provider is non-participating.

Members are encouraged to confirm that a provider is participating with their plan, prior to scheduling an appointment. If

you have questions or need a translator, please contact our Customer Service Department at 801-587-6480.

University Health Plans

https://uhealthplan.utah.edu/

General Information

My Doctors: Name:

Phone:

Name:

Phone:

Name:

Phone:

Name:

Phone:


Member Services: Phone: (801) 587-6480 or 1-888-271-5870, option 6

Hours: Mon – Fri, 8AM – 6 PM

Email: [email protected]

Fax: (801) 587-6433


Website Address: https://uhealthplan.utah.edu/


Claims: Phone: (801) 587-6480 or 1-888-271-5870, option 6

Mail to: P.O. Box 45180

Salt Lake City, UT 84145-0180


Case Management: (801) 587-6480 or 1-888-271-5870, option 2

Because providers may be added to or deleted from University Health Plans at any time, please verify

their participation by calling University Health Plans Customer Service at (801) 587-6480, option 6.

https://uhealthplan.utah.edu/mailto:[email protected]://uhealthplan.utah.edu/

Healthy Premier - Individual & Family Welcome

10/01/2017 Page 8




WELCOME TO HEALTHY PREMIER -

INDIVIDUAL & FAMILY

This directory lists the providers in the Healthy

Premier - Individual & Family network. You will

have the lowest out-of-pocket cost when you receive

services from these providers.

Choosing Your Doctor:

A Primary Care Physician (PCP) is a doctor you see

for most of your medical care. Healthy Premier -

Individual & Family PCPs are listed in the front of

this handbook. You do not have to pick a PCP; but

we think you should.

A PCP will:

See you for routine check-ups.

Treat you when you are sick or injured.

Refer you to a specialist (if needed).

Approve all non-emergency hospital stays.

Be your contact if you need care after office hours (except emergencies).

Choose a PCP from the list of providers in this

directory. These are the kinds of doctors who are

PCPs:

Family or General Practice (for all ages)

Internal Medicine (for adults)

Pediatrician (for children)

Obstetrics and Gynecology (OB/GYN – for women). You may also choose a Certified

Nurse Midwife (CNM) if you are having a baby.

You may select one PCP for your whole family or a

different PCP for every family member with Healthy

Premier - Individual & Family as their health plan.

If you have a special health need, you may be able to

choose a specialist as your PCP. A Case Manager

will work with you to choose a specialist as your

PCP. Our Case Managers are Registered Nurses.

They will work with you and your doctor(s) to make

sure you get the care you need.

The Healthy Premier - Individual & Family plan

provides access to providers and facilities for

covered services under your benefit plan. Providers

and facilities were selected based on our specific

criteria for cost and quality. We survey our

members periodically to determine member

satisfaction. We look at the number of providers and

facilities in the counties where our plans provide

coverage to members. We make sure that members

can access our providers and facilities within a

reasonable driving distance and/or time.

Remember: Go to the emergency room if you have a serious medical problem that cannot wait more

than 24 hours. Do not go to the emergency room,

though, for routine medical care. If you think your

medical problem might be an emergency, call 911 or

go to any hospital emergency room.

For questions about your medical benefits, please

call Member Services at 1-888- 271-5870, option 6.

Important Phone Numbers:

Member Services: 801-587-6480 or

1-888-271-5870

(Choose option 6)

Hours: Mon- Fri: 8 a.m.–6 p.m.

U of U Physician

Referral Service: 801-581-2897

Healthy Premier - Individual & Family on

the Internet: https://uhealthplan.utah.edu/

Claims may be mailed to: HEALTHY PREMIER - INDIVIDUAL & FAMILY

Attn: Claims Department

P.O. Box 45180

Salt Lake City, UT 84145

Healthy Premier - Individual & Family has translators

for any language. Please call member services at 1-888-

271-5870, option 6.

If you have diabetes, heart disease, arthritis or any other

chronic condition, Healthy Premier - Individual &

Family has a Care Manager ready to assist you to make

sure you get the care that you need. Give our Care

Management department a call at 801-587-6480 or 1-

888-271-5780, option 2.


Healthy Premier - Individual & Family Bienvenidos

10/01/2017 Page 9




BIENVENIDOS A HEALTHY

PREMIER - INDIVIDUAL & FAMILY Este directorio enumera a los proveedores en la red

de Healthy Premier - Individual & Family. Usted

tendrá el más bajo de los gastos de bolsillo cuando

recibe servicios de estos proveedores.

Escogiendo a Su Doctor:

Un Médico de Atención Primaria (PCP) es un doctor

al que usted ve en la mayoría de sus atenciones

médicas. Los PCP de Healthy Premier - Individual

& Family aparecen en la parte de atrás de este

manual. No tiene que escoger a un PCP, pero

creemos que debería. Un PCP realizará lo siguiente:

Lo verá para chequeos de rutina.

Lo atenderá cuando esté enfermo o lesionado.

Lo referirá a un especialista (de ser necesario).

Aprobará todas las hospitalizaciones que no sean de emergencia.

Será su contacto si necesita que lo atiendan fuera del horario del consultorio (excepto las

emergencias).

Escoja a un PCP de la lista de proveedores que

aparece en este manual. Estas son las clases de

doctores que son PCP:

Práctica Familiar (para todas las edades)

Medicina Interna (para adultos)

Pediatría (para niños)

Obstetricia y Ginecología (OB/GYN – para mujeres). También puede escoger una

Enfermera Obstétrica Certificada (CNM) si va a

tener un bebé.

Puede escoger a un PCP para toda su familia, o un

PCP diferente para cada miembro de la familia que

tiene Healthy Premier - Individual & Family como

su plan de salud. Si tiene una necesidad especial de

salud, puede escoger a un especialista como su PCP.

Un Administrador de Caso trabajará con usted para

escoger a un especialista como su PCP. Nuestros

Administradores de Caso son Enfermeras

Registradas. Ellas trabajarán con usted y su

doctor(es) para asegurarse de que usted reciba la

atención que necesita.

El plan Healthy Premier - Individual & Family

proporciona acceso a los proveedores y las

instalaciones para los servicios cubiertos por su plan

de beneficios. Se seleccionaron los proveedores y las

instalaciones en base a los criterios específicos de

costo y calidad. Hacemos encuestas a nuestros

miembros periódicamente para determinar la

satisfacción de los miembros. Nos fijamos en el

número de proveedores e instalaciones en los

condados donde nuestros planes proporcionan

cobertura a los miembros. Nos aseguramos de que

los miembros puedan acceder a nuestros proveedores

e instalaciones dentro de una razonable distancia o

tiempo.

Recuerde: Vaya a la sala de emergencias si tiene un

problema médico serio que no puede esperar más de

24 horas. No vaya a la sala de emergencia si se trata

de una atención médica de rutina. Si usted piensa

que su problema médico puede ser una emergencia,

llame al 911 o vaya a la sala de emergencia de

cualquier hospital.

Si tiene preguntas respecto de sus beneficios

médicos, llame a los Servicios para Miembros al 1-

888-271-5870, opción 6.

Números Telefónicos Importantes:

Servicios Para Miembros: 801-587-6480 o

1-888-271-5870

(Escoja la opción 6)

Horario: lunes - viernes: 8:00 a.m.- 6:00 p.m.

U de U Servicio de

Referencia Médica: 801-581-2897

Healthy Premier - Individual & Family en

Internet: https://uhealthplan.utah.edu/

Envíe sus reclamos a: HEALTHY PREMIER - INDIVIDUAL & FAMILY

Attn: Claims Department

P.O. Box 45180

Salt Lake City, UT 84145

Healthy Premier - Individual & Family tiene traductores

para cualquier idioma. Por favor, llame a Servicios para

Miembros al 1-888-271-5870, opción 6.

Si usted tiene diabetes, enfermedades del corazón,

artritis o cualquier otra enfermedad crónica, Healthy

Premier - Individual & Family tiene un Administrador

de Atención disponible para ayudarle y para asegurarse

de que usted reciba la atención médica que necesita.

Llame a nuestro departamento de Administración de la

Atención al 801-587-6480 o 1-888-271-5870, opción 2.


Healthy Premier - Individual & Family Participating Facilities & Ancillary Services

10/01/2017 Page 10




Hospitals

Beaver Beaver Valley Hospital

1109 North 100 West Street ....................................................................................................................................... (435) 438-7100

Blanding Blue Mountain Hospital

802 South 200 West .................................................................................................................................................... (435) 678-3993

Bountiful Lakeview Hospital

630 East Medical Drive ............................................................................................................................................... (801) 299-2200

South Davis Community Hospital

401 South 400 East ..................................................................................................................................................... (801) 295-2361

Brigham City Brigham City Community Hospital

950 South Medical Drive ............................................................................................................................................. (435) 734-9471

Burley, ID Cassia Regional Hospital

1501 Hiland Avenue .................................................................................................................................................... (208) 678-4444

Cedar City Cedar City Hospital

1303 North Main Street .............................................................................................................................................. (435) 868-5000

Delta Delta Community Hospital

126 White Sage Avenue .............................................................................................................................................. (435) 864-5591

Draper Lone Peak Hospital

11925 South State Street ............................................................................................................................................ (801) 545-8000

Fillmore Fillmore Community Hospital

674 South Highway 99 ................................................................................................................................................ (435) 743-5591

Grand Junction, CO Community Hospital

2351 G Road ................................................................................................................................................................ (970) 242-0920

West Springs Hospital

515 28 3/4 Road .......................................................................................................................................................... (970) 263-4918

Gunnison Gunnison Valley Hospital

64 East 100 North ....................................................................................................................................................... (435) 528-7246

Heber City Heber Valley Medical Center

1485 South Highway 40 .............................................................................................................................................. (435) 654-2500

Kanab Kane County Hospital

355 North Main Street ................................................................................................................................................ (435) 644-5811

Logan Logan Regional Hospital

500 East 1400 North ................................................................................................................................................... (435) 716-1000


10/01/2017 Page 11




Milford Milford Valley Hospital

850 North Main Street, UT Highway 257 .................................................................................................................... (435) 387-2411

Moab Moab Regional Hospital

450 West Williams Way .............................................................................................................................................. (435) 719-4550

Monticello San Juan Hospital

380 West 100 North .................................................................................................................................................... (435) 587-2116

Mt. Pleasant Sanpete Valley Hospital

1100 South Medical Drive ........................................................................................................................................... (435) 462-2441

Nephi Central Valley Medical Center Nephi

48 West 1500 North .................................................................................................................................................... (435) 623-3000

North Logan Cache Valley Hospital

2380 North 400 East ................................................................................................................................................... (435) 713-9700

Ogden Ogden Regional Medical Center

5475 South 500 East ................................................................................................................................................... (801) 479-2111

Orem Provo Canyon Behavioral Hospital

1350 East 750 North ................................................................................................................................................... (801) 852-2273

Timpanogos Regional Hospital

750 West 800 North .................................................................................................................................................... (801) 714-6000

Panguitch Garfield Memorial Hospital

200 North 400 East ..................................................................................................................................................... (435) 676-8811

Park City Park City Hospital

900 Round Valley Drive ............................................................................................................................................... (435) 658-7000

Payson Mountain View Hospital

1000 East 100 North ................................................................................................................................................... (801) 465-7000

Price Castleview Hospital

300 North Hospital Drive ............................................................................................................................................ (435) 637-4800

Provo Utah Valley Specialty Hospital

306 West River Bend Lane .......................................................................................................................................... (801) 226-8880

Richfield Sevier Valley Hospital


Riverton Primary Children's Unit at Riverton Hospital

3741 West 12600 South .............................................................................................................................................. (801) 285-4000


10/01/2017 Page 12




Rock Springs, WY Memorial Hospital of Sweetwater County

1200 College Drive ...................................................................................................................................................... (307) 362-3711

Roosevelt Uintah Basin Medical Center - Clinic 1

210 West 300 North .................................................................................................................................................... (435) 722-4691

Uintah Basin Medical Clinic

250 West 300 North .................................................................................................................................................... (435) 722-4691

Salt Lake City Huntsman Cancer Institute

2000 Circle of Hope ..................................................................................................................................................... (801) 585-0303

Primary Children's Hospital

100 North Mario Capecchi Drive ................................................................................................................................. (801) 662-1000

Promise Hospital of Salt Lake, Inc.

325 East 8th Street...................................................................................................................................................... (801) 408-7100

Shriners Hospitals for Children

Fairfax Road at Virginia Street .................................................................................................................................... (801) 536-3500

St. Mark's Hospital

1200 East 3900 South ................................................................................................................................................. (801) 268-7111

University Neuropsychiatric Institute (UNI)

501 Chipeta Way ......................................................................................................................................................... (801) 583-2500

University of Utah Hospital

50 North Medical Drive ............................................................................................................................................... (801) 581-2121

UUHC University Orthopaedic Center

590 Wakara Way ......................................................................................................................................................... (801) 587-7109

St. George Dixie Regional Medical Center

1380 East Medical Center Drive .................................................................................................................................. (435) 251-1000

Tooele Mountain West Medical Center


Tremonton Bear River Valley Hospital

905 North 1000 West .................................................................................................................................................. (435) 207-4500

Vernal Ashley Valley Medical Center

150 West 100 North .................................................................................................................................................... (435) 789-3342

Urgent Care Centers

American Fork Medallus Medical - American Fork

476 North 900 West, Suite C ....................................................................................................................................... (801) 492-1611

Bountiful FirstMed Urgent Care - North

1512 Renaissance Towne Drive, Suite 100.................................................................................................................. (801) 295-6483

Ogden Clinic - Cope Family Medicine Urgent Care

185 South 400 East , Suite 100 .................................................................................................................................... (801) 397-6200

Brigham City Box Elder InstaCare

1050 South 500 West .................................................................................................................................................. (435) 695-2727


10/01/2017 Page 13




Casper, WY Cedars Health - Casper

428 South Durbin Street, Suite 104 ............................................................................................................................ (307) 337-4284

Cedar City Cedar City InstaCare

962 Sage Drive ............................................................................................................................................................ (435) 865-3440

Centerville UUHC Centerville Health Center - Urgent Care

26 South Main Street .................................................................................................................................................. (801) 213-8844

Cheyenne, WY Cedars Health - Cheyenne

1421 West Lincoln Way .............................................................................................................................................. (307) 637-6707

North Cheyenne Medical - Cheyenne

6501 Sycamore Road, Suite F1 .................................................................................................................................... (307) 514-1300

Cottonwood Heights FirstMed Urgent Care - East

1950 East 7000 South ................................................................................................................................................. (801) 943-3300

Draper Medallus Medical - Draper

1126 East 12300 South ............................................................................................................................................... (801) 545-0600

Eagle Mountain Eagle Mountain Family Medicine & Urgent Care - Revere Health

4095 East Pony Express Parkway, Suite 1 ................................................................................................................... (801) 429-8037

Farmington Ogden Clinic - Farmington Urgent Care

991 West Shepard Lane .............................................................................................................................................. (801) 397-6080

UUHC Farmington Health Center - Urgent Care

165 North University Avenue ...................................................................................................................................... (801) 213-3200

Farr West Farr West Urgent Care & Family Medicine

2850 North 2000 West ................................................................................................................................................ (801) 732-0805

Grand Junction, CO Community Hospital

2351 G Road ................................................................................................................................................................ (970) 242-0920

Holladay Medallus Medical - Holladay

3934 South 2300 East, Suite D .................................................................................................................................... (801) 849-8500

Hurricane Hurricane Valley InstaCare

75 North 2260 West .................................................................................................................................................... (435) 635-6550

Hyde Park North Cache Valley InstaCare

4088 North Highway 91 .............................................................................................................................................. (435) 563-4888

Idaho Falls, ID Sterling Urgent Care - Idaho Falls

740 South Woodruff Avenue ...................................................................................................................................... (208) 542-9111

Layton Medallus Medical - Layton

1868 North 1200 West ................................................................................................................................................ (801) 614-9030


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Ogden Clinic - Davis Family Physicians Urgent Care

3225 West Gordon Avenue ......................................................................................................................................... (801) 397-6150

Wee Care Pediatrics - Layton Office

2084 North 1700 West, Suite A .................................................................................................................................. (801) 773-8644

Lehi Utah Valley Urgent Care & Family Practice - Lehi

127 East Main Street, Suite E ...................................................................................................................................... (801) 225-8634

Logan Logan InstaCare

412 North 200 East ..................................................................................................................................................... (435) 713-2710

Sterling Urgent Care - Logan

1201 South Main Street, Suite 110 ............................................................................................................................. (435) 787-8504

Sterling Urgent Care - North Logan

630 East 1400 North , Suite 150.................................................................................................................................. (435) 915-4465

Magna Exodus Healthcare Network - Magna Health Center

3665 South 8400 West, Suite 110 ............................................................................................................................... (801) 250-9638

Midvale UUHC Greenwood Health Center - Urgent Care

7495 South State Street .............................................................................................................................................. (801) 213-8840

Mt. Pleasant Mt. Pleasant Family Medicine & Urgent Care - Revere Health

1075 South Highway 89 .............................................................................................................................................. (435) 462-2044

Murray FirstMed Urgent Care - Murray

5911 South Fashion Place Boulevard .......................................................................................................................... (801) 266-6843

Ogden NowCare - Ogden

698 East 12th Street.................................................................................................................................................... (801) 621-3466

Ogden Clinic - Canyon View Urgent Care

1159 East 12th Street.................................................................................................................................................. (801) 475-3700

Ogden Clinic - Professional Center Urgent Care

4650-4700 South Harrison Boulevard ......................................................................................................................... (801) 475-3000

Ogden Clinic - Skyline Urgent Care

6112 South 1550 East ................................................................................................................................................. (801) 475-3800

Ogden Clinic - South Ogden Center for Family Medicine Urgent Care

5740 Crestwood Drive ................................................................................................................................................ (801) 479-7771

Orem Utah Valley Urgent Care & Family Practice - Orem

960 West 800 North .................................................................................................................................................... (801) 326-0678

UUHC Parkway Health Center - Urgent Care

145 West University Parkway ..................................................................................................................................... (801) 234-8585

Park City Stat MD Urgent Care Park City

1784 West Uinta Way, Suite E-2 ................................................................................................................................. (435) 601-0160

UUHC Redstone Health Center - Urgent Care

1743 West Redstone Center Drive, Suite 115 ............................................................................................................. (435) 658-9262

Payson Payson Family Medicine & Urgent Care - Revere Health

97 Professional Way, Suite 2 ....................................................................................................................................... (801) 465-4896


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Pleasant View Ogden Clinic - Mountain View Urgent Care

1100 West 2700 North ................................................................................................................................................ (801) 475-3600

Price Gagon Family Medicine & Urgent Care

377 North Fairgrounds Road ....................................................................................................................................... (435) 613-2200

Provo Provo Family Medicine & Urgent Care - Revere Health

1055 North 500 West, Building A ................................................................................................................................ (801) 812-5033

Riverwoods Urgent Care

280 West Riverpark Drive, Suite 120 .......................................................................................................................... (801) 229-2011

Rawlins, WY Cedars Health - Rawlins

1906 East Cedar Street................................................................................................................................................ (307) 324-2294

Riverton, WY Cedars Health - Riverton

716 College View Drive ............................................................................................................................................... (307) 856-1315

Granger Medical Riverton - Urgent Care

12391 South 4000 West .............................................................................................................................................. (801) 302-1700

Medallus Medical - South Bangerter

13348 South Market Center Drive, Suite 100 ............................................................................................................. (801) 844-1600

Rock Springs, WY Cedars Health - Rock Springs

1453 Dewar Drive, Suite A .......................................................................................................................................... (307) 382-2466

Roy NowCare - Roy

1937 West 5700 South ................................................................................................................................................ (801) 773-9380

Ogden Clinic - Grand View Urgent Care

3485 North 5200 South ............................................................................................................................................... (801) 475-3900

Roy Rock Run Family Medicine & Urgent Care - Revere Health

5640 South 3500 West ............................................................................................................................................... (801) 773-2838

Salem Salem Urgent Care - Revere Health

555 West SR 164 North ............................................................................................................................................... (801) 465-4896

Salina Salina Family Medicine & Urgent Care - Revere Health

131 East Main Street, Suite 3 ...................................................................................................................................... (435) 529-2215

Salt Lake City FirstMed Urgent Care - Central

441 South Redwood Road ........................................................................................................................................... (801) 973-2588

Granger Medical Millcreek - Urgent Care

1121 East 3900 South, Suite 130 ................................................................................................................................ (801) 281-1300

University of Utah Hospital - Urgent Care

50 North Medical Drive ............................................................................................................................................... (801) 581-2121

UUHC Orthopaedic Center Injury Clinic

590 Wakara Way ......................................................................................................................................................... (801) 587-7109

UUHC Redwood Health Center - Urgent Care

1525 West 2100 South ................................................................................................................................................ (801) 213-9900

Sandy Medallus Medical - Sandy

7998 South 1300 East ................................................................................................................................................. (801) 255-2000


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Sheridan, WY Cedars Health - Sheridan

813 Highland Avenue ................................................................................................................................................. (307) 673-5501

South Jordan Copperview Medical Center

3556 West 9800 South, Suite 101 ............................................................................................................................... (801) 567-9780

Medallus Medical - South Jordan

10433 South Redwood Road ....................................................................................................................................... (801) 501-0500

UUHC South Jordan Health Center - Urgent Care

5126 West Daybreak Parkway .................................................................................................................................... (801) 213-4500

St. George River Road InstaCare

577 South River Road .................................................................................................................................................. (435) 688-6300

St. George Clinic Urgent Care - Revere Health

736 South 900 Eas, Suite 203 ...................................................................................................................................... (435) 673-6131

Sunset InstaCare

1739 West Sunset Boulevard ...................................................................................................................................... (435) 634-6050

Stansbury Park Tooele Valley Urgent Care

1244 North Main Street, Suite 201 ............................................................................................................................. (435) 882-3968

Washington Washington Family Medicine & Urgent Care - Revere Health

195 West Telegraph Street ......................................................................................................................................... (435) 215-0600

West Jordan FirstMed Urgent Care - West Jordan

8822 South Redwood Road, Suite E-122 ..................................................................................................................... (801) 256-0009

Granger Medical West Jordan - Urgent Care

3181 West 9000 South ................................................................................................................................................ (801) 352-5900

Stat MD Urgent Care West Jordan

7724 South 5600 West, Suite 102 ............................................................................................................................... (435) 601-0160

West Valley City Granger Medical West Valley - Urgent Care

3725 West 4100 South ................................................................................................................................................ (801) 965-3600

Medallus Medical - West Valley

3451 South 5600 West, Suite F ................................................................................................................................... (801) 957-0900

UUHC Westridge Health Center - Urgent Care

3730 West 4700 South ................................................................................................................................................ (801) 213-8843

Public Health Centers / Clinics

Beaver Southwest Utah Public Health Department - Beaver

75 West 1175 North .................................................................................................................................................... (435) 438-2482

Brigham City Bear River Health Department - Brigham City

817 West 950 South .................................................................................................................................................... (435) 734-0845

Castle Dale Southeastern Utah District Health Department - Castle Dale

25 West Main .............................................................................................................................................................. (435) 381-2252

Cedar City Southwest Utah Public Health Department - Cedar City

260 East DL Sargent Drive ........................................................................................................................................... (435) 586-2437


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Delta Central Utah Public Health Dept - West Millard Office

428 East Topaz Boulevard ........................................................................................................................................... (435) 864-3612

Fillmore Central Utah Public Health Dept - East Millard Office

40 North 400 West ...................................................................................................................................................... (435) 743-5723

Heber City Wasatch County Health Department

55 South 500 East ....................................................................................................................................................... (435) 657-3257

Junction Central Utah Public Health Dept - Piute


Kanab Southwest Utah Public Health Department - Kanab


Loa Central Utah Public Health Dept - Wayne Office

18 South Main Street .................................................................................................................................................. (435) 836-1317

Logan Bear River Health Department - Logan

655 East 1300 North ................................................................................................................................................... (435) 792-6500

Manti Central Utah Public Health Dept - South Sanpete Office

40 West 200 North ...................................................................................................................................................... (435) 835-2231

Moab Southeastern Utah District Health Department - Moab

575 South Kane Creek Boulevard ................................................................................................................................ (435) 259-5602

Mt. Pleasant Central Utah Public Health Dept - North Sanpete Office

20 South 100 West ...................................................................................................................................................... (435) 462-2449

Nephi Central Utah Public Health Dept - Juab Office


Panguitch Southwest Utah Public Health Department - Panguitch

601 East Center Street ................................................................................................................................................ (435) 676-8800

Price Southeastern Utah District Health Department - Price

28 South 100 East ....................................................................................................................................................... (435) 637-3671

Richfield Central Utah Public Health Dept - Sevier Office

70 Westview Drive ...................................................................................................................................................... (435) 896-5451

St. George Southwest Utah Public Health Department - St. George

620 South 400 East, Suite 400 .................................................................................................................................... (435) 986-2545

Tooele Tooele County Health Department

151 North Main ........................................................................................................................................................... (435) 277-2300


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Tremonton Bear River Health Department - Tremonton

40 West 100 North ...................................................................................................................................................... (435) 257-3318

Ambulatory Surgery Centers

American Fork Revere Health - American Fork Surgery Center

1175 East 50 South, Suite 101 .................................................................................................................................... (801) 492-5994

Bountiful Lakeview Endoscopy Center

620 East Medical Drive, Suite 200 ............................................................................................................................... (801) 296-2122

Mountain West Surgical Center

1551 South Renaissance Towne Drive, Suite 200 ....................................................................................................... (801) 383-1111

Grand Junction, CO Endoscopy Center of Grand Junction

1035 Wellington Avenue............................................................................................................................................. (877) 579-4572

Murray Family Surgical Suite - Murray

151 East 5600 South, Suite 104 .................................................................................................................................. (801) 288-1211

Ogden Mt. Ogden Surgical Center

4364 Washington Boulevard ....................................................................................................................................... (801) 479-4470

Providence Spring Creek Surgical Center

65 North Gateway Drive, Suite 3 ................................................................................................................................ (435) 535-3257

Provo Central Utah Surgical Center

1067 North 500 West .................................................................................................................................................. (801) 374-0354

Riverwoods Surgery Center

320 West Riverpark Drive, Suite 125 .......................................................................................................................... (801) 437-4500

Salt Lake City Mountain West Endoscopy Center

6360 South 3000 East, Suite 320 ................................................................................................................................ (801) 944-3166

St. Mark's Outpatient Surgery Center

1250 East 3900 South, Suite 100 ................................................................................................................................ (801) 262-0358

Wasatch Endoscopy Center

1220 East 3900 South, Suite 1B .................................................................................................................................. (801) 281-4258

Sandy Granite Peaks Endoscopy

10150 South Petunia Way........................................................................................................................................... (801) 619-1115

South Towne Surgery Center

10011 Centennial Parkway, Suite 100......................................................................................................................... (801) 233-9300

Sout

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Healthy Premier - Individual & Family Table of Contents · 01/10/2017 · Bienvenidos 10/01/2017 Page 9 Directories are subject to change. Members may be responsible for out-of-pocket