Healthy U Table of Contents...Jun 13, 2020 · Directories are subject to change. Members may be responsible for out-of-pocket expenses if a provider is non-participating. Members

Healthy U Table of Contents

GENERAL INFORMATION ..................................................................................................................................................... 6

WELCOME ........................................................................................................................................................................... 7

BIENVENIDOS .................................................................................................................................................................... 10

UNIVERSITY OF UTAH HEALTH PLANS CONTRACTING CRITERIA ......................................................................................... 12

PARTICIPATING FACILITIES & ANCILLARY SERVICES ........................................................................................................... 13

HOSPITALS ................................................................................................................................................................................ 13 HOSPITALS, LONG TERM ACUTE CARE (LTAC) ................................................................................................................................. 14 URGENT CARE CENTERS ............................................................................................................................................................... 14 PUBLIC HEALTH CENTERS / CLINICS ................................................................................................................................................ 15 RURAL HEALTH CLINICS ............................................................................................................................................................... 16 AMBULATORY SURGERY CENTERS .................................................................................................................................................. 16 CARDIAC MONITORING ............................................................................................................................................................... 16 DIABETES EDUCATION CENTERS .................................................................................................................................................... 17 DIABETES SUPPLY CENTERS .......................................................................................................................................................... 17 DIALYSIS CENTERS ...................................................................................................................................................................... 17 HEARING CENTERS ...................................................................................................................................................................... 18 HOME HEALTH AGENCIES ............................................................................................................................................................ 18 HOME INFUSION SERVICES ........................................................................................................................................................... 22 HOME MEDICAL SUPPLIES / DURABLE MEDICAL EQUIPMENT (DME) ................................................................................................... 22 HOSPICE CARE ........................................................................................................................................................................... 24 INFUSION SUITES ........................................................................................................................................................................ 26 LABORATORY / PATHOLOGY ......................................................................................................................................................... 26 LABORATORY DRAW STATIONS ..................................................................................................................................................... 27 LANGUAGE INTERPRETER SERVICES ................................................................................................................................................ 28 MAMMOGRAPHY SCREENING CENTERS ........................................................................................................................................... 29 PERSONAL/HOME CARE AGENCIES ................................................................................................................................................ 29 RADIOLOGY / IMAGING CENTERS ................................................................................................................................................... 29 REHABILITATION SERVICES............................................................................................................................................................ 30 SKILLED NURSING FACILITIES ......................................................................................................................................................... 31 SLEEP STUDY LABS ...................................................................................................................................................................... 32 VISION CENTERS (OPTICAL SUPPLIERS) ........................................................................................................................................... 32

PARTICIPATING PRIMARY CARE PROVIDERS ...................................................................................................................... 34

ADOLESCENT MEDICINE ............................................................................................................................................................... 34 FAMILY MEDICINE ...................................................................................................................................................................... 34 FAMILY PRACTICE WITH OB .......................................................................................................................................................... 74 GENERAL PRACTICE ..................................................................................................................................................................... 74 GERIATRIC MEDICINE .................................................................................................................................................................. 75 HEALTH CENTER/CLINIC .............................................................................................................................................................. 76 INTERNAL MEDICINE ................................................................................................................................................................... 78 MULTISPECIALTY CLINIC ............................................................................................................................................................... 98 OBSTETRICS AND GYNECOLOGY ................................................................................................................................................... 148 PEDIATRICS ............................................................................................................................................................................. 168 PREVENTIVE MEDICINE .............................................................................................................................................................. 191

PARTICIPATING SPECIALTY PROVIDERS ........................................................................................................................... 192

ADDICTION MEDICINE ............................................................................................................................................................... 192


ADVANCED HEART FAILURE AND TRANSPLANT CARDIOLOGY ............................................................................................................. 192 ALLERGY AND IMMUNOLOGY ...................................................................................................................................................... 192 AUDIOLOGY............................................................................................................................................................................. 194 BRAIN INJURY MEDICINE ............................................................................................................................................................ 200 CARDIAC ELECTROPHYSIOLOGY, CLINICAL ...................................................................................................................................... 200 CARDIOLOGY, INTERVENTIONAL................................................................................................................................................... 203 CARDIOTHORACIC SURGERY ........................................................................................................................................................ 205 CARDIOVASCULAR DISEASE ......................................................................................................................................................... 208 CHILD ABUSE PEDIATRICS ........................................................................................................................................................... 221 CHIROPRACTIC ......................................................................................................................................................................... 222 CLINICAL LIPIDOLOGY ................................................................................................................................................................ 222 COLON AND RECTAL SURGERY .................................................................................................................................................... 222 DERMATOLOGY ........................................................................................................................................................................ 222 DIABETES EDUCATION ............................................................................................................................................................... 232 ELECTRODIAGNOSTIC MEDICINE .................................................................................................................................................. 232 ENDOCRINOLOGY, DIABETES AND METABOLISM ............................................................................................................................. 232 FAMILY MEDICINE .................................................................................................................................................................... 235 FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY ............................................................................................................. 236 FOOT AND ANKLE SURGERY ........................................................................................................................................................ 236 GASTROENTEROLOGY ................................................................................................................................................................ 237 GENETIC COUNSELING ............................................................................................................................................................... 243 GENETICS AND GENOMICS, CLINICAL ............................................................................................................................................ 244 GERIATRIC MEDICINE ................................................................................................................................................................ 244 HAND SURGERY ....................................................................................................................................................................... 245 HEMATOLOGY.......................................................................................................................................................................... 246 HEMATOLOGY/ONCOLOGY......................................................................................................................................................... 248 HOSPICE AND PALLIATIVE MEDICINE ............................................................................................................................................ 251 INFECTIOUS DISEASE ................................................................................................................................................................. 252 INTERNAL MEDICINE ................................................................................................................................................................. 254 MATERNAL AND FETAL MEDICINE ................................................................................................................................................ 258 MIDWIFERY ............................................................................................................................................................................. 261 MULTISPECIALTY CLINIC ............................................................................................................................................................. 262 NEPHROLOGY .......................................................................................................................................................................... 265 NEURODEVELOPMENTAL DISABILITIES........................................................................................................................................... 273 NEUROLOGICAL SURGERY........................................................................................................................................................... 273 NEUROLOGY ............................................................................................................................................................................ 276 NEUROLOGY WITH SPECIAL QUALIFICATION IN CHILD NEUROLOGY ..................................................................................................... 282 NEUROMUSCULAR MEDICINE ..................................................................................................................................................... 283 NEUROPHYSIOLOGY, CLINICAL ..................................................................................................................................................... 283 NEUROTOLOGY ........................................................................................................................................................................ 284 NUCLEAR CARDIOLOGY .............................................................................................................................................................. 284 NUCLEAR RADIOLOGY ............................................................................................................................................................... 285 NURSE PRACTITIONER ............................................................................................................................................................... 285 NURSE PRACTITIONER, FAMILY ................................................................................................................................................... 285 NURSE PRACTITIONER, WOMEN'S HEALTH .................................................................................................................................... 285 OBSTETRICS AND GYNECOLOGY ................................................................................................................................................... 285 OCCUPATIONAL MEDICINE ......................................................................................................................................................... 287 OCCUPATIONAL THERAPY ........................................................................................................................................................... 287 ONCOLOGY, GYNECOLOGIC ........................................................................................................................................................ 294


ONCOLOGY, MEDICAL ............................................................................................................................................................... 295 ONCOLOGY, SURGICAL .............................................................................................................................................................. 297 OPHTHALMOLOGY .................................................................................................................................................................... 297 OPTOMETRY ............................................................................................................................................................................ 309 ORAL AND MAXILLOFACIAL SURGERY ........................................................................................................................................... 316 ORTHOPAEDIC SPORTS MEDICINE ................................................................................................................................................ 319 ORTHOPEDICS/ORTHOPAEDIC SURGERY........................................................................................................................................ 319 OTOLARYNGOLOGY (ENT) ......................................................................................................................................................... 333 PAIN MEDICINE ....................................................................................................................................................................... 340 PEDIATRIC CARDIOLOGY............................................................................................................................................................. 345 PEDIATRIC DERMATOLOGY ......................................................................................................................................................... 351 PEDIATRIC ENDOCRINOLOGY ....................................................................................................................................................... 351 PEDIATRIC GASTROENTEROLOGY ................................................................................................................................................. 353 PEDIATRIC HEMATOLOGY-ONCOLOGY .......................................................................................................................................... 355 PEDIATRIC INFECTIOUS DISEASES ................................................................................................................................................. 356 PEDIATRIC NEPHROLOGY ........................................................................................................................................................... 356 PEDIATRIC NEUROLOGICAL SURGERY ............................................................................................................................................ 357 PEDIATRIC OTOLARYNGOLOGY .................................................................................................................................................... 357 PEDIATRIC PULMONOLOGY ......................................................................................................................................................... 357 PEDIATRIC REHABILITATION MEDICINE ......................................................................................................................................... 358 PEDIATRIC RHEUMATOLOGY ....................................................................................................................................................... 358 PEDIATRIC SLEEP MEDICINE ........................................................................................................................................................ 359 PEDIATRIC SPORTS MEDICINE ..................................................................................................................................................... 359 PEDIATRIC SURGERY .................................................................................................................................................................. 359 PEDIATRIC TRANSPLANT HEPATOLOGY .......................................................................................................................................... 362 PEDIATRIC UROLOGY ................................................................................................................................................................. 362 PEDIATRICS ............................................................................................................................................................................. 363 PEDIATRICS, DEVELOPMENTAL-BEHAVIORAL .................................................................................................................................. 365 PHYSICAL MEDICINE AND REHABILITATION .................................................................................................................................... 365 PHYSICAL THERAPY ................................................................................................................................................................... 369 PLASTIC SURGERY ..................................................................................................................................................................... 401 PLASTIC SURGERY WITHIN THE HEAD AND NECK ............................................................................................................................ 403 PODIATRY ............................................................................................................................................................................... 404 PULMONARY DISEASE................................................................................................................................................................ 409 RADIATION ONCOLOGY ............................................................................................................................................................. 413 RADIOLOGY, INTERVENTIONAL AND DIAGNOSTIC ............................................................................................................................ 416 RADIOLOGY, VASCULAR AND INTERVENTIONAL ............................................................................................................................... 417 REGISTERED DIETITIAN/NUTRITION PROFESSIONAL ......................................................................................................................... 417 REPRODUCTIVE ENDOCRINOLOGY/INFERTILITY ............................................................................................................................... 419 RHEUMATOLOGY ...................................................................................................................................................................... 419 SLEEP MEDICINE ...................................................................................................................................................................... 421 SPEECH-LANGUAGE PATHOLOGY ................................................................................................................................................. 422 SPINAL CORD INJURY MEDICINE .................................................................................................................................................. 426 SPORTS MEDICINE .................................................................................................................................................................... 426 SURGERY, GENERAL .................................................................................................................................................................. 429 TRANSPLANT HEPATOLOGY ........................................................................................................................................................ 436 UROLOGY ............................................................................................................................................................................... 437 VASCULAR NEUROLOGY ............................................................................................................................................................. 441 VASCULAR SURGERY ................................................................................................................................................................. 442


WOUND CARE/HYPERBARIC MEDICINE ........................................................................................................................................ 443

INDEX OF PROVIDERS BY LANGUAGES SPOKEN ............................................................................................................... 445

INDEX .............................................................................................................................................................................. 518

Healthy U General Information

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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 1-833-981-0212.

University of Utah Health Plans uhealthplan.utah.edu

General Information My Doctors: Name:

Phone:

Name:

Phone:

Name:

Phone:

Name:

Phone: U of U Health Plans Customer Service: Phone: 801-213-4104 or 1-833-981-0212

Hours: Mon – Fri, 8 AM – 6 PM

Email: [email protected] Fax: 801-281-6121

U of U Health Plans Website Address: uhealthplan.utah.edu U of U Health Plans Claims: Phone: 801-213-4104 or 1-833-981-0212, option 1 Mail to: P.O. Box 45180 Salt Lake City, UT 84145-0180 U of U Health Plans Care Management: Phone: 801-213-4104 or 1-833-981-0212, option 2

Because providers may be added to or deleted from University of Utah Health Plans at any time, please verify that providers are in your plan network by calling University of Utah Health Plans Customer Service at 801-213-4104 or 1-833-981-0212.

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

Healthy U Welcome

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WELCOME TO HEALTHY U This directory lists the providers in the Healthy U network. All non-emergency services must be received from Healthy U providers. If you are having an emergency, you may see any provider including providers who are not in the Healthy U network.

Choosing Your Doctor: A Primary Care Physician (PCP) is a doctor you see for most of your medical care. Healthy U 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 U 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. Remember: Go to the emergency room if you have an Emergency Medical Condition that requires Emergency Service. 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.

“Emergency Medical Condition” means, unless otherwise defined in an applicable Benefit Plan, a medical condition manifesting itself by acute symptoms of sufficient severity, including severe pain, such that a prudent layperson, who possesses an average knowledge of medicine and health, could reasonably expect the absence of immediate medical attention to result in: (a) placing the patient’s health (or, with respect to a pregnant woman, the health of a woman or her unborn child) in serious jeopardy; (b) serious impairment of bodily function; (c) serious dysfunction of any bodily organ or part. Severe bleeding, unconsciousness, and fracture are examples of Emergencies. The determination of whether Emergency Services are Covered Services shall rest with University. Such determination shall be consistent with the definition of “Emergency Medical Condition” as stated above and shall be subject to the appeals process of University. Notwithstanding any other provision in this Agreement, University shall not deny payment for Emergency Services provided by Provider to Members in accordance with USC 42, Section 1395 et seq of the Emergency Medical Treatment and Active Labor Act (EMTALA). “Emergency Services” means covered inpatient and outpatient services that are furnished by a Provider that is qualified to furnish these services and that are needed to evaluate or stabilize an Emergency Medical Condition. For questions about your medical benefits, please refer to your Healthy U Member Handbook or call Member Services at 801-213-4104 or 1-833-981-0212. Important Notice: All non-emergency services must be received from Healthy U network providers at facilities participating with Healthy U. The only exceptions to this rule are Emergency Rooms and Urgent Care Centers. This directory is subject to change, and you are encouraged to make sure your doctor is still in the Healthy U network and accepting Healthy U patients by calling the doctor's office prior to scheduling an appointment. Members may be responsible for payment if the provider you see is not in the Healthy U network.

Healthy U Welcome

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Important Phone Numbers: Member Services: 801-213-4104 or 1-833-981-0212 Hours:

Mon- Fri: 8 a.m.–6 p.m. U of U Physician Referral Service: 801-581-2897 Utah State Medicaid Hotline: 801-538-6155 or

1-800-662-9651 U of U Health Plan members can call our Access Assistance line to help find a provider, transition to an in-network provider or schedule an appointment. To contact a care coordinator, call 801-213-4104, option 2 or 1-833-981-0212, option 2. Healthy U on the Internet: https://uhealthplan.utah.edu/ Claims may be mailed to: HEALTHY U Attn: Claims Department P.O. Box 45180 Salt Lake City, UT 84145

https://uhealthplan.utah.edu/

Healthy U Welcome

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Healthy U has translators for any language. Please call member services at 1-833-981-0212.

If you have diabetes, heart disease, arthritis or any other chronic condition, Healthy U 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 801-213-4104, option 2 or 1-833-981-0212, option 2.

Spanish ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-833-981-0212.

Chinese 注意：如果您使用繁體中文，您可以免費獲得語

言援助服務。請致電 1-833-981-0212。

Vietnamese CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-833-981-0212.

Korean 주의: 한국어를 사용하시는 경우, 언어 지원

서비스를 무료로 이용하실 수 있습니다. 1-833-

981-0212 번으로 전화해 주십시오.

Navajo Díí baa akó nínízin: Díí saad bee yáníłti’go Diné Bizaad, saad bee áká’ánída’áwo’dęę’, t’áá jiik’eh, éí ná hólǫ, kojį’ hódíílnih 1-833-981-0212

Nepali �ान िदनुहोस्: तपाइ�ले नेपाली बोल्नु�न्छ भने तपाइ�को िन�� भाषा सहायता सेवाह� िनःशु� �पमा उपल� छ । फोन गनु�होस् 1-833-981-0212

Tongan FAKATOKANGA’I: Kapau ‘oku ke Lea-Fakatonga, ko e kau tokoni fakatonu lea ‘oku nau fai atu ha tokoni ta’etotongi, pea teke lava ‘o ma’u ia. Telefoni mai 1-833-981-0212

Serbo-Croatian OBAVJEŠTENJE: Ako govorite srpsko-hrvatski, usluge jezičke pomoći dostupne su vam besplatno. Nazovite 1-833-981-0212

Tagalog PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-833-981-0212

German ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-833-981-0212

Russian ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-833-981-0212

Cambodian ្របយ័ត�៖ េបើសិន�អ�កនិ�យ ��ែខ�រ, េស�ជំនួយែផ�ក�� េ�យមិនគិតឈ� �ល គឺ�ច�នសំ�ប់បំេរ �អ�ក។ ចូរ ទូរស័ព� 1-833-981-0212

French ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-833-981-0212

Japanese 注意事項：日本語を話される場合、無料の言語

支援をご利用いただけます。1-833-981-0212

Arabic اللغویة المساعدة خدمات فإن ،اللغة اذكر تتحدث كنت إذا :ملحوظة 0212-981-833-1 برقم اتصل .بالمجان لك تتوافر

Healthy U Bienvenidos

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BIENVENIDOS A HEALTHY U Este directorio enumera a los proveedores en la red de Healthy U. Todos los servicios que no sean de emergencia deben recibirse de los proveedores de Healthy U. Si tiene una emergencia, puede ver a cualquier proveedor, incluido los proveedores que no están en la red de Healthy U. 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 U 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 U 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.

Recuerde: Vaya a la sala de emergencias si tiene una a condición médica de emergencia que

requiere un servicio de emergencia. 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.

“Condición de Emergencia Médica” significa a menos que se defina lo contrario en un Plan de Beneficios aplicable, una condición médica que se manifiesta por síntomas agudos de suficiente gravedad, incluyendo dolor severo. De tal manera que un laico prudente, que posee un conocimiento promedio de medicina y salud, podría razonablemente esperar que la ausencia de atención médica inmediata resulte en: (a) poner en grave peligro la salud del paciente (o, con respecto a una mujer embarazada, la salud de una mujer o su feto); (b) deterioro grave de la función corporal; (c) disfunción grave de cualquier órgano o parte del cuerpo. El sangrado severo, la inconsciencia y fracturas son ejemplos de emergencias. La determinación de si los Servicios de Emergencia son Servicios Cubiertos dependerá de la Universidad. Dicha determinación deberá ser consistente con la definición de “Condición de Emergencia Médica” como se indicó anteriormente y estará sujeto al proceso de apelación de la Universidad. No obstante, cualquier otra disposición en este Acuerdo, la Universidad no negará el pago por los Servicios de Emergencia proporcionados por el Proveedor a los Miembros de conformidad con la USC 42, Sección 1395 y siguientes de la Ley de Tratamiento Médico de Emergencia y Trabajo Activo (EMTALA).

"Servicios de Emergencia" se refiere a los servicios cubiertos para pacientes hospitalizados y ambulatorios que proporciona un proveedor que está calificado para brindar estos servicios y que son necesarios para evaluar o estabilizar una condición médica de emergencia.

Si tiene preguntas respecto de sus beneficios médicos, vea su Manual para Miembros de Healthy U o llame a los Servicios para Miembros al 801-213-4104 o 1-833-981-0212. Aviso Importante: Todos los servicios que no sean de emergencia deben ser recibidos de proveedores de la red de

Healthy U Bienvenidos

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Healthy U en las instalaciones que participan con Healthy U. Las únicas excepciones a esta regla son las salas de emergencia y los centros de atención de urgencias. Este directorio está sujeto a cambios, y le recomendamos que llame al consultorio del médico antes de programar una cita. Para asegure de que su médico aún esté en la red de Healthy U. Los miembros pueden ser responsables del pago de servicio si el proveedor que usted ve no está en la red de Healthy U. Números Telefónicos Importantes: Servicios Para Miembros: 801-213-4104 o 1-833-981-0212 Horario:

lunes - viernes: 8:00 a.m.- 6:00 p.m. U de U Servicio de Referencia Médica: 801-581-2897 Medicaid del Estado de Utah 801-538-6155 Línea Directa: 1-800-662-9651 Los miembros de U of U Health Plan pueden llamar a nuestra línea de Asistencia de Acceso para ayudar a encontrar un proveedor, hacer la transición a un proveedor dentro de la red o programar una cita. Para comunicarse con un coordinador de atención, llame al 801-213-4104, opción 2 o 1-833-981-0212, opción 2. Healthy U en Internet: https://uhealthplan.utah.edu/ Envíe sus reclamos a: HEALTHY U Attn: Claims Department P.O. Box 45180 Salt Lake City, UT 84145

Healthy U tiene traductores para cualquier idioma. Por favor, llame a Servicios para Miembros al 801-213-4104 o 1-833-981-0212. Si usted tiene diabetes, enfermedades del corazón, artritis o cualquier otra enfermedad crónica, Healthy U 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 801-213-4104, opción 2 o 1-833-981-0212, opción 2.

https://uhealthplan.utah.edu/

Healthy U University of Utah Health Plans Contracting Criteria

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The University of Utah Health Plans (UUHP) contracts with physicians and other health care professionals and facilities for all of our product lines, including commercial, marketplace, and Medicaid, to offer provider networks essential to the delivery of health care and services to our members. UUHP is committed to the “triple aim” of improving experience and quality of care, improving the health of populations, and reducing the per capita cost of care.

We recognize the importance of population health and payment reform and have developed extensive care management and value-based payment programs that improve health and align provider reimbursement with value and positive outcomes.

Provider applications to participate in any UUHP network are considered based on the following:

UUHP business needs which may include and are not limited to: • Network adequacy requirements based on state and/or federal guidelines • Network adequacy requirements based on the current or expected population of a given

geographic area (usually defined by county or zip code) • Network adequacy requirements based on provider type and/or specialty • Network composition based on scope of services required by payer such as employer, health

plan, union/trust, government entity, etc. • Demographic needs including but not limited to languages spoken • Existing, non-compensated, referral patterns with current network providers and/or UUHP

members

Quality, patient experience and cost data as available which may include and is not limited to:

• Comparisons of provider practice data to benchmark market averages related to compliance with industry-standard quality measures. Examples include: Hemoglobin A1c (HbA1c) testing in diabetic patients, breast cancer screening prevention rates, and child immunization rates.

• Industry published and available patient surveys and reviews • Comparisons of provider practice cost data to benchmark market averages on a per-member-

per-month basis for similar populations

The credentialing process which may include and is not limited to, verifying appropriate licensure, education and training, board certification, DEA licensure, accreditation/certification status, review of sanctions and a review of an acceptable history of professional liability claims.

All providers must be approved through our credentialing process before they may participate in any network.

UUHP plans are designed based on specific criteria that we apply to select participating primary care physicians and specialists which include:

• Cardiology • General Surgery • Neurology • Urology • Orthopedics • Obstetrics and Gynecology

Additional primary care physicians, specialists, and facilities are included if they meet our credentialing requirements to ensure members have access within a reasonable distance to the number and types of providers needed.

Healthy U Participating Facilities & Ancillary Services

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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 1-833-981-0212. ♿ ADA accesible - For specific accommodations contact the provider ㏄ Cultural Competency training

Hospitals American Fork American Fork Hospital ♿

170 N 1100 E ................ (801) 855-3300

Beaver Beaver Valley Hospital ♿

1109 N 100 West St ...... (435) 438-7100

Blanding Blue Mountain Hospital ♿

802 S 200 W ................. (435) 678-3993

Bountiful Lakeview Hospital ♿

630 E Medical Dr .......... (801) 299-2200

Brigham City Brigham City Community Hospital ♿

950 S Medical Dr .......... (435) 734-9471

Cedar City Cedar City Hospital ♿

1303 N Main St............. (435) 868-5000

Delta Delta Community Hospital ♿

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

Draper Lone Peak Hospital ♿

11925 S State St ........... (801) 545-8000

Fillmore Fillmore Community Hospital ♿

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

Gunnison Gunnison Valley Hospital ♿

64 E 100 N .................... (435) 528-7246

Heber City Heber Valley Medical Center ♿

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

Kanab Kane County Hospital ♿

355 N Main St............... (435) 644-5811

Layton Davis Hospital & Medical Center ♿

1600 W Antelope Dr .... (801) 807-1000 Layton Hospital ♿

201 W Layton Pkwy ...... (801) 543-6000

Lehi Mountain Point Medical Center ♿

3000 N Triumph Blvd ... (385) 345-3000

Logan Logan Regional Hospital ♿

500 E 1400 N ................ (435) 716-1000

Milford Milford Memorial Hospital ♿

850 N Main St Ut Hwy 257 .................. (435) 387-2411

Moab Moab Regional Hospital ♿

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

Monticello San Juan Hospital ♿

380 W 100 N ................ (435) 587-2116

Mt. Pleasant Sanpete Valley Hospital ♿

1100 S Medical Dr ........ (435) 462-2441

Murray Intermountain Medical Center ♿

5121 S Cottonwood St ............................... (801) 507-7000

The Orthopedic Specialty Hospital (TOSH) ♿ 5848 S 300 E ................ (801) 314-4100

Nephi Central Valley Medical Center ♿

48 W 1500 N ................ (435) 623-3000

North Logan Cache Valley Hospital ♿

2380 N 400 E ................ (435) 713-9700

Ogden McKay-Dee Hospital ♿

4401 Harrison Blvd ...... (801) 387-2800 Ogden Regional Medical Center ♿

5475 S 500 E ................ (801) 479-2111

Orem Orem Community Hospital ♿

331 N 400 W ................ (801) 224-4080 Timpanogos Regional Hospital ♿

750 W 800 N ................ (801) 714-6000

Panguitch Garfield Memorial Hospital ♿

200 N 400 E .................. (435) 676-8811

Park City Park City Hospital ♿

900 Round Vly Dr ......... (435) 658-7000

Payson Mountain View Hospital ♿

1000 E 100 N ................ (801) 465-7000

Price Castleview Hospital ♿

300 N Hospital Dr ......... (435) 637-4800

Provo Utah Valley Hospital ♿

1034 N 500 W ............... (801) 357-7850

Richfield Sevier Valley Hospital ♿

1000 N Main St ............. (435) 893-4100

Riverton Primary Children's Unit at Riverton

Hospital ♿ 3741 W 12600 S............ (801) 285-4000

Riverton Hospital ♿ 3741 W 12600 S............ (801) 285-4000

Roosevelt Uintah Basin Medical Center ♿

250 W 300 N ................. (435) 722-4691 Uintah Basin Medical Center - Clinic 1 ㏄

210 W 300 N ................. (435) 722-4691

Salt Lake City Huntsman Cancer Institute ♿

2000 Cir Of Hope .......... (801) 585-0303 Jordan Valley Medical Center West Valley

Campus ♿ 3460 S Pioneer Pkwy .... (801) 964-3111

LDS Hospital ♿ 8th Ave C St .................. (801) 408-1100

Primary Children's Hospital ♿ 100 N Mario Capecchi

Dr................................ (801) 662-1000 Salt Lake Regional Medical Center ♿

1050 East South Temple ....................... (801) 350-4111

Shriners Hospitals for Children ♿ 1275 E Fairfax Rd .......... (801) 536-3500

St. Mark's Hospital ♿ 1200 E 3900 S ............... (801) 268-7111

University of Utah Hospital ♿ ㏄ 50 N Medical Dr ............ (801) 581-2121

UUHC University Orthopaedic Center ♿ ㏄ 590 Wakara Way .......... (801) 587-7109

Sandy Alta View Hospital ♿

9660 S 1300 E ............... (801) 501-2600

St. George Dixie Regional Medical Center ♿

1380 E Medical Ctr Dr ... (435) 251-1000

Taylorsville St. Mark's Taylorsville Emergency Center

♿ 5400 S 2700 W.............. (801) 982-0050


06/12/2020 Page 14


Tooele Mountain West Medical Center ♿

2055 N Main St............. (435) 843-3710

Tremonton Bear River Valley Hospital ♿

905 N 1000 W .............. (435) 207-4500

Vernal Ashley Regional Medical Center ♿

150 W 100 N ................ (435) 789-3342

West Jordan Jordan Valley Medical Center ♿

3580 W 9000 S ............. (801) 561-8888

West Valley City Jordan Valley Medical Center - West

Valley Inpatient Psych ♿ 3460 S Pioneer Pkwy .... (801) 964-3100

Hospitals, Long Term Acute Care (LTAC) Bountiful Western Peak Specialty Hospital

485 E 500 S ................... (801) 397-8177

Murray KPC Promise Hospital of Salt Lake

4252 Birkhill Blvd ......... (801) 408-7100

Provo Utah Valley Specialty Hospital

306 West Riv Bnd Ln .... (801) 226-8880

Urgent Care Centers American Fork Medallus Medical - American Fork

476 N 900 W Ste C ....... (801) 492-1611

Bountiful FirstMed Urgent Care - North

1512 Renaissance Towne Dr Ste 100 ......................... (801) 295-6483

Ogden Clinic - Cope Family Medicine Urgent Care 185 S 400 E Ste 100 ...... (801) 397-6200

Brigham City Box Elder InstaCare ♿

1050 S 500 W ............... (435) 695-2424

Centerville UUHC Centerville Health Center - Urgent

Care ♿ ㏄ 26 S Main St ................. (801) 213-8844

Cottonwood Heights FirstMed Urgent Care - East

1950 E 7000 S ............... (801) 943-3300

Draper Medallus Medical - Draper

1126 E 12300 S ............ (801) 545-0600

Eagle Mountain Eagle Mountain Family Medicine &

Urgent Care - Revere Health 4095 E Pony Expy Pkwy Ste 1 ............................. (801) 429-8037

Farmington Ogden Clinic - Farmington Urgent Care

991 W Shepard Ln ........ (801) 397-6080 UUHC Farmington Health Center - Urgent

Care ♿ ㏄ 165 N University Ave ... (801) 213-3200

Farr West Revere Health Family medicine

2850 N 2000 W Ste 101 ......................... (801) 528-5094

Hailey, ID Sterling Urgent Care - Hailey

507 S Main St ............... (208) 788-4122

Holladay Medallus Medical - Holladay

3934 S 2300 E Ste D ..... (801) 849-8500

Hyde Park North Cache Valley InstaCare ♿

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

Idaho Falls, ID Sterling Urgent Care - Idaho Falls

740 S Woodruff Ave ..... (208) 542-9111

Kaysville Kaysville Creekside InstaCare ♿

435 N Main St .............. (801) 498-6000

Layton Layton InstaCare ♿

2075 University Park Blvd ............................ (801) 779-6200

Medallus Medical - Layton 1868 N 1200 W ............ (801) 614-9030

Ogden Clinic - Davis Family Physicians Urgent Care 3225 W Gordon Ave .... (801) 397-6150

Wee Care Pediatrics - Layton Office ♿ 2084 N 1700 W Ste A ... (801) 773-8644

Lehi Utah Valley Urgent Care & Family

Practice - Lehi 127 E Main St Ste E ...... (801) 766-9822

Logan Logan InstaCare ♿

412 N 200 E .................. (435) 713-2710

Sterling Urgent Care - Logan 1201 S Main St Ste 110.......................... (435) 787-8504

Sterling Urgent Care - North Logan 630 E 1400 N Ste 150 ... (435) 915-4465

Magna Exodus Healthcare Network - Magna

Health Center 3665 S 8400 W Ste 110.......................... (801) 250-9638

Midvale UUHC Greenwood Health Center -

Urgent Care ♿ 7495 S State St .............. (801) 213-8840

Mt. Pleasant Mt. Pleasant Family Medicine & Urgent

Care - Revere Health 1075 South Hwy 89 ...... (435) 462-2044

Murray FirstMed Urgent Care - Murray

5911 S Fashion Pl Blvd ............................ (801) 266-6843

Ogden North Ogden InstaCare ♿

2400 N Washington Blvd ............................ (801) 786-7500

Ogden Clinic - Canyon View Urgent Care 1159 E 12Th St .............. (801) 475-3700

Ogden Clinic - Professional Center Urgent Care 4650-4700 South

Harrison Blvd .............. (801) 475-3000 Ogden Clinic - Skyline Urgent Care

6112 S 1550 E ............... (801) 475-3800 Ogden Clinic - South Ogden Center for

Family Medicine Urgent Care 5740 Crestwood Dr ....... (801) 479-7771

Orem Utah Valley Urgent Care & Family

Practice - Orem 960 W 800 N ................. (801) 326-0678

UUHC Parkway Health Center - Urgent Care ♿ ㏄ 145 W University

Pkwy ........................... (801) 234-8585

Park City Park City Bonanza InstaCare (Ski Season

Only) ♿ 1665 Bonanza Dr .......... (435) 649-7640

Stat MD Urgent Care Park City 1784 W Uinta Way Ste E-2 .......................... (435) 604-0160


06/12/2020 Page 15


UUHC Redstone Health Center - Urgent Care ♿ ㏄ 1743 W Redstone Ctr Dr Ste 115 ......................... (435) 658-9262

Payson Payson Family Medicine & Urgent Care -

Revere Health 97 Professional Way Ste 2 ............................. (801) 465-4896

Pleasant View Ogden Clinic - Mountain View Urgent

Care 1100 W 2700 N ............ (801) 475-3600

Price Gagon Family Medicine & Urgent Care

377 N Fairgrounds Rd ... (435) 613-2200

Provo Provo Family Medicine & Urgent Care -

Revere Health 1055 N 500 W Bldg A ... (801) 812-5033

Riverwoods Urgent Care ♿ 280 W Riverpark Dr Ste 120 ......................... (801) 229-2011

Riverton Granger Medical Riverton - Urgent Care

12391 S 4000 W ........... (801) 302-1700 Medallus Medical - South Bangerter

13348 S Market Ctr Dr Ste 100 ......................... (801) 844-1600

Roy Ogden Clinic - Grand View Urgent Care

3485 N 5200 S .............. (801) 475-3900 Roy Rock Run Family Medicine & Urgent

Care - Revere Health 5640 S 3500 W ............. (801) 773-2838

Salem Salem Urgent Care - Revere Health

555 W Sr 164 N ............ (801) 465-4896

Salt Lake City FirstMed Urgent Care - Central ♿ ㏄

441 S Redwood Rd ....... (801) 973-2588 Revere Health - Clinton

1407 N 2000 W Ste C ... (801) 866-0170 University of Utah Hospital - Urgent Care

♿ ㏄ 50 N Medical Dr ........... (801) 581-2121

UUHC Orthopaedic Center Injury Clinic ♿ ㏄ 590 Wakara Way .......... (801) 587-7109

UUHC Redwood Health Center - Urgent Care ♿ ㏄ 1525 W 2100 S ............. (801) 213-9900

Sandy Medallus Medical - Sandy

7998 S 1300 E .............. (801) 255-2000

South Jordan Copperview Medical Center ♿ ㏄

3556 W 9800 S Ste 101 ......................... (801) 567-9780

Medallus Medical - South Jordan 10433 S Redwood Rd ... (801) 501-0500

UUHC South Jordan Health Center - Urgent Care ♿ ㏄ 5126 W Daybreak

Pkwy .......................... (801) 213-4500

South Ogden South Ogden InstaCare ♿

975 E Chambers St ....... (801) 387-6200

St. George St. George Clinic Urgent Care - Revere

Health 736 S 900 E Ste 203...... (435) 673-6131

Stansbury Park Tooele Valley Urgent Care

1244 N Main St Ste 201 ......................... (435) 882-3968

Syracuse Syracuse InstaCare ♿

745 S 2000 W ............... (801) 525-2400

Washington Washington Family Medicine & Urgent

Care - Revere Health 195 W Telegraph St ..... (435) 215-0600

West Jordan FirstMed Urgent Care - West Jordan

8822 S Redwood Rd Ste E-122 ...................... (801) 256-0009

Granger Medical West Jordan - Urgent Care 3181 W 9000 S ............. (801) 352-5900

Stat MD Urgent Care West Jordan 7724 S 5600 W Ste 102 ......................... (801) 432-8480

West Valley City Granger Medical West Valley - Urgent

Care 3725 W 4100 S ............. (801) 965-3600

Medallus Medical - West Valley 3451 S 5600 W Ste F .... (801) 957-0900

UUHC Westridge Health Center - Urgent Care ♿ 3730 W 4700 S ............. (801) 213-8843

Public Health Centers / Clinics Beaver Southwest Utah Public Health

Department - Beaver 75 W 1175 N ................. (435) 438-2482

Bountiful Davis County Health Department ♿

596 W 750 S.................. (801) 525-4979

Brigham City Bear River Health Department - Brigham

City ♿ 817 W 950 S.................. (435) 734-0845

Castle Dale Southeastern Utah District Health

Department - Castle Dale 25 W Main St ................ (435) 381-2252

Cedar City Southwest Utah Public Health

Department - Cedar City 260 E Dl Sargent Dr ....... (435) 586-2437

Clearfield Davis County Health Department ♿

22 S State St .................. (801) 525-5020

Coalville Summit County Health Department -

Coalville Office 85 N 50 E ...................... (435) 336-3234

Delta Central Utah Public Health Dept - West

Millard Office 428 E Topaz Blvd .......... (435) 864-3612

Fillmore Central Utah Public Health Dept - East

Millard Office 40 N 400 W ................... (435) 743-5723

Heber City Wasatch County Health Department ♿

55 S 500 E ..................... (435) 657-3257

Junction Central Utah Public Health Dept - Piute

550 N Main St ............... (435) 577-2521

Kamas Summit County Health Department -

Kamas Office 110 N Main St ............... (435) 783-4351

Kanab Southwest Utah Public Health

Department - Kanab 445 N Main St ............... (435) 644-2537


06/12/2020 Page 16


Loa Central Utah Public Health Dept - Wayne

Office 18 S Main St ................. (435) 836-1317

Logan Bear River Health Department - Logan ♿ ㏄ 655 E 1300 N ................ (435) 792-6500

Manti Central Utah Public Health Dept - South

Sanpete Office 40 W 200 N .................. (435) 835-2231

Moab Southeastern Utah District Health

Department - Moab 575 S Kane Crk Blvd ...... (435) 259-5602

Mt. Pleasant Central Utah Public Health Dept - North

Sanpete Office 20 S 100 W ................... (435) 462-2449

Nephi Central Utah Public Health Dept - Juab

Office 160 N Main St............... (435) 623-0696

Ogden Weber-Morgan Health Department ♿

477 23rd St ................... (801) 399-7252

Panguitch Southwest Utah Public Health

Department - Panguitch 601 East Ctr St .............. (435) 676-8800

Park City Summit County Health Department -

Park City Office 650 Round Vly Dr ......... (435) 333-1500

Price Southeastern Utah District Health

Department - Price 28 S 100 E ..................... (435) 637-3671

Provo Utah County Public Health Clinic

151 S University Ave .... (801) 851-7051

Richfield Central Utah Public Health Dept - Sevier

Office 70 Westview Dr ............ (435) 896-5451

St. George Southwest Utah Public Health

Department - St. George 620 S 400 E Ste 400 ...... (435) 986-2545

Tooele Tooele County Health Department ♿

151 N Main St .............. (435) 277-2460

Tremonton Bear River Health Department -

Tremonton ♿ 440 W 600 N ................ (435) 257-3318

Rural Health Clinics Preston, ID Willow Valley Clinic

47 N 1st E ..................... (208) 852-2900

Ambulatory Surgery Centers American Fork Revere Health - American Fork Surgery

Center 1175 E 50 S Ste 101...... (801) 492-5994

Bountiful Lakeview Endoscopy Center

620 E Medical Dr Ste 200 ......................... (801) 296-2122

Mountain West Surgical Center 1551 S Renaissance Towne Dr Ste 200 ......................... (801) 383-1111

Draper EyeSurg of Utah ♿ ㏄

11820 S State St Ste 150 ......................... (801) 568-0200

Logan South Pointe Surgical Center ♿

810 S 100 N Ste 120 ..... (435) 213-1917

Murray Family Surgical Suite - Murray

151 E 5600 S Ste 100.... (801) 495-1064

Ogden McKay-Dee Surgical Center ♿

3903 Harrison Blvd Ste 100 ......................... (801) 442-3631

Mt. Ogden Surgical Center 4364 Washington

Blvd ............................ (801) 479-4470

Providence Spring Creek Surgical Center

65 North Gtwy Dr Ste 3 ............................. (435) 535-3257

Provo Central Utah Surgical Center

1067 N 500 W .............. (801) 374-0354

Riverwoods Surgery Center 320 W Riverpark Dr Ste 125.......................... (801) 437-4500

Salt Lake City Avenues Surgical Center ♿

359 8th Ave .................. (801) 408-1883 Mountain West Endoscopy Center

6360 S 3000 E Ste 320 .. (801) 944-3166 St. Mark's Outpatient Surgery Center

1250 E 3900 S Ste 100 .. (801) 262-0358 Wasatch Endoscopy Center

1220 E 3900 S Ste 1B .... (801) 281-4258

Sandy Granite Peaks Endoscopy

10150 S Petunia Way .... (801) 619-1115 Lone Peak Surgery Center

10011 Centennial Pkwy Ste 100.......................... (801) 233-9300

South Ogden Ridgeline Endoscopy Center

6028 S Ridgeline Dr Ste 100.......................... (801) 475-4900

St. George Coral Desert Surgery Center ♿ ㏄

1490 E Foremaster Dr Bldg C............................ (435) 674-5230

St. George Surgical Center 676 South Blf St ............ (435) 673-0095

Zion Surgery Center ♿ 1791 E 280 N ................ (435) 656-2020

Tooele NorthPointe Surgical Center ♿

2326 N 400 E Bldg C Ste 100 ............... (435) 843-0180

West Jordan Family Surgical Suite - West Jordan

8822 S Redwood Rd Ste C-113 ...................... (801) 748-1427

West Valley City Utah Surgical Center ♿

3715 W 4100 S.............. (801) 957-0200

Cardiac Monitoring Out of State Preventice Services

Houston, TX .................. (888) 500-3522


06/12/2020 Page 17


Diabetes Education Centers American Fork American Fork Diabetes Management

Clinic ♿ 170 N 1100 E ................ (801) 855-3471

Bountiful Lakeview Hospital Diabetes Education

630 E Medical Dr .......... (801) 299-6868

Cedar City Cedar City Diabetes Education Clinic ♿

110 W 1335 N Ste 100 ......................... (435) 868-5576

Heber City Heber Valley Diabetes Clinic ♿

380 E 1500 S Ste 204 .... (435) 657-4311

Layton Davis Hospital and Medical Center’s

Diabetes Care Clinic Robert Bitner Medical Ofc Bldg 1600 W Antelope Dr .... (801) 807-7360

Logan Budge Diabetes Clinic ♿

1350 N 500 E ................ (435) 792-1710 Logan Regional Hospital Diabetes

Services ♿ 500 E 1400 N ................ (435) 716-5669

Mt. Pleasant Sanpete Valley Hospital Diabetes

Education ♿ 1100 S Medical Dr ........ (435) 462-4163

Murray Intermountain Medical Center Diabetes

Education ♿ 5121 S Cottonwood

St ................................ (801) 507-3366

Ogden McKay-Dee Endocrine & Diabetes Clinic ♿

4403 Harrison Blvd Ste 3630 ....................... (801) 387-7900

Provo Utah Valley Diabetes Management Clinic

♿ 1034 N 500 W .............. (801) 357-7546

Richfield Sevier Valley Hospital Diabetes Services ♿

1000 N Main St............. (435) 893-0640

Riverton Primary Children's Outpatient

Endocrinology/Diabetes ♿ 3773 W 12600 S ........... (801) 213-3599

Salt Lake City Byram Healthcare Diabetes Specialty

Center 3793 S State St ............. (801) 268-9699

Diabetes Care Center of Utah at Salt Lake Regional Medical Center 1050 East South

Temple ....................... (801) 350-8108 Primary Children's Hospital Diabetes

Clinic ♿ 81 N Mario Capecchi

Dr ............................... (801) 213-3599 St. Mark's Hospital Diabetes Center

1160 E 3900 S N Medical Ofc Bldg

Ste 3300 ..................... (801) 268-7358 Utah Diabetes & Endocrinology Center

615 Arapeen Dr Ste 100 ......................... (801) 581-7761

Sandy Alta View - Sandy Diabetes Clinic ♿

9500 S 1300 E .............. (801) 501-2100

St. George Dixie Regional Medical Center Diabetes

Education Clinic ♿ 348 E 600 S 2nd Fl ........ (435) 251-2888

Tremonton Bear River Valley Diabetes and

Endocrinology ♿ 905 N 1000 W .............. (435) 207-4500

West Jordan Diabetes Care Center of Utah at Jordan

Valley Medical Center 3580 W 9000 S ............. (801) 561-8888

West Valley City Diabetes Care Center of Utah at Jordan

Valley Medical Center - West Valley Campus 3460 S Pioneer Pkwy ... (801) 964-3100

Diabetes Supply Centers Centerville UUHC Centerville Health Center

Pharmacy 26 S Main St ................. (801) 693-7950

Midvale UUHC Greenwood Health Center

Pharmacy 7495 S State St ............. (801) 213-9540

Ogden Western Diabetic Supplies

3293 Harrison Blvd Ste 210.......................... (877) 937-8342

Orem UUHC Parkway Health Center Pharmacy

145 W 1300 S................ (801) 234-8510

Park City UUHC Redstone Health Center Pharmacy

1743 W Redstone Ctr Dr Ste 115.......................... (435) 658-9280

Salt Lake City Byram Healthcare - Murray

645 E 4500 S Ste 200 .... (800) 775-4372 Byram Healthcare - Salt Lake City

3793 S State St .............. (801) 268-9699 University of Utah Hospital Pharmacy

50 N Medical Dr ............ (801) 581-2276 UUHC Redwood Health Center Pharmacy

1525 W 2100 S.............. (801) 213-9950

South Jordan UUHC South Jordan Health Center

Pharmacy 5126 W Daybreak

Pkwy ........................... (801) 213-4550

Stansbury Park UUHC Stansbury Health Center Pharmacy

220 Millpond Rd ........... (435) 843-3050

West Valley City UUHC Westridge Health Center

Pharmacy 3730 W 4700 S.............. (801) 213-9250

Dialysis Centers American Fork UUHC American Fork Dialysis ♿

1159 E 200 N Ste 150 ... (801) 763-0652

Blanding Blue Mountain Hospital ♿

802 S 200 W.................. (435) 678-3993

Bountiful UUHC Lakeside Dialysis ♿

532 S 500 W.................. (801) 299-3470

Cedar City UUHC Iron Mission Dialysis & Kidney

Clinic ♿ 1277 Northfield Rd ....... (435) 867-8175

Heber City Heber Valley Dialysis Center at IHC ♿

380 E 1500 S Ste 101 .... (435) 654-2500


06/12/2020 Page 18


Heber Valley Dialysis Center at IHC ♿ 380 E 1500 S Ste 101 .... (435) 654-2500

Hurricane UUHC Hurricane Dialysis & Kidney Clinic

♿ 48 S 2500 W Unit 100... (435) 635-0399

Idaho Falls, ID UUHC Gem State Dialysis ♿

2225 Teton Plz Ste A .... (208) 522-4831

Kanab Kanab Nephrology Clinic ♿

355 N Main ................... (435) 867-8175

Kaysville Anthem Dialysis ♿

520 N Kays Dr Ste 1 ...... (801) 917-9000

Layton UUHC Farmington Bay Dialysis ♿

942 S Main St ............... (801) 593-9111

Logan Logan Regional Hospital Dialysis Center ♿

550 E 1400 N Ste K ....... (435) 716-5314

Mesquite, NV UUHC Desert Valley Dialysis & Kidney

Clinic ♿ 350 Falcon Rdg Pkwy Bldg 700 Ste 104 .......... (702) 345-4144

Murray Intermountain Medical Center Dialysis

Services ♿ 74 W Vine St ................. (801) 507-9013

Ogden UUHC Bonneville Dialysis ♿

5575 S 500 E ................. (801) 479-0351 UUHC Mark Lindsay Dialysis ♿

1151 E Country Hls Dr .. (801) 479-4460

Payson UUHC Payson Dialysis & Kidney Clinic ♿

15 S 1000 E Ste 50 ........ (801) 465-2060

Pleasant View UUHC Pleasant View Dialysis ♿

2715 North Hwy 89 Ste 15 ........................... (801) 737-9555

Price UUHC Castleview Dialysis & Kidney Clinic

♿ 230 N Hospital Dr Ste 1 ............................. (801) 637-8696

Provo UUHC Provo Dialysis & Kidney Clinic ♿

1675 N Freedom Blvd Ste 15 ........................... (801) 373-0167

Rexburg, ID UUHC Yellowstone Dialysis Center ♿

1165 Summers Dr Ste 15 ........................... (208) 656-0396

Richfield Sevier Valley Dialysis ♿

81 E 900 N .................... (435) 893-0358

Roosevelt Uintah Basin Dialysis Center

250 W 300 N ................ (435) 725-2008

Salt Lake City IMC Utah Dialysis ♿

1000 S Main St Ste 105 ......................... (801) 408-1400

Primary Children's Dialysis Center ♿ 81 N Mario Capecchi

Dr ............................... (801) 662-1000 UUHC Kolff Dialysis ♿

423 Wakara Way Ste 200 ......................... (801) 581-3981

Sandy UUHC South Valley Dialysis ♿

8750 S Sandy Pkwy ...... (801) 233-8745

St. George UUHC Dixie Dialysis & Kidney Clinic ♿

720 South Riv Rd Ste D-1100 ................... (435) 656-0857

Taylorsville UUHC West Valley Dialysis ♿

3854 W 5400 S ............. (801) 587-8578

Tooele Tooele Valley Dialysis at IHC ♿

196 E 2000 N Ste 112 ... (801) 408-1430 Tooele Valley Dialysis at IHC ♿

196 E 2000 N Ste 112 ... (801) 408-1430

Hearing Centers Blanding Intermountain Hearing Centers -

Blanding ♿ 802 S 200 W ................. (385) 383-7161

Brigham City Intermountain Hearing Centers - Brigham

City ♿ 646 S Main St ............... (435) 239-8860

Layton Intermountain Hearing Centers - Layton

♿ 755 W Antelope Dr ....... (385) 383-7161

Ogden Intermountain Hearing Centers - Ogden ♿

5349 S Adams Ave Ste C ............................. (801) 479-3346

Rock Springs, WY Intermountain Hearing Centers - Rock

Springs 1573 Dewar Dr Ste 2 ..... (307) 362-8221

Home Health Agencies Ada County, ID Encompass Home

Health and Hospice ........ (208) 519-4330

Bannock County, ID Encompass Home

Health of Idaho - Pocatello ♿ ..................... (208) 637-1100

Signature Healthcare at Home - Chubbuck ........... (208) 637-2273

Beaver County Beaver Valley Hospital -

Home Health & Hospice ........................... (435) 438-7100

IHC Homecare Home Health Cedar City ♿ ........ (435) 868-5852

Zion's Way Home Health & Hospice - Cedar City .... (435) 688-0648

Bingham County, ID Signature Healthcare at

Home - Blackfoot............ (208) 785-2003

Bonneville County, ID Encompass Home

Health of Idaho - Idaho Falls ♿ ............................. (208) 528-8100

Box Elder County Canyon Home Care &

Hospice Ogden ♿ ............ (801) 475-5300 Caregiver Support

Network - Box Elder and Cache Counties ♿ .... (435) 915-3424

Community Nursing Services (CNS) - Brigham Office ............... (435) 723-4404

Community Nursing Services (CNS) - Logan Office .............................. (435) 752-3355


06/12/2020 Page 19


Community Nursing Services (CNS) - Ogden Office ............................. (801) 476-0088

Hearts for Hospice & Home Health - Riverdale ........................ (801) 475-0601

IHC Homecare Home Health Logan ♿ .............. (435) 716-5477

Ivy Lane Pediatrics - Ogden Office .................. (801) 774-9698

Peregrine Home Health ♿ .................................... (435) 723-8705

Symbii Home Health and Hospice - Layton ..... (801) 444-0221

Cache County Canyon Home Care &

Hospice Ogden ♿ ........... (801) 475-5300 Caregiver Support

Network - Box Elder and Cache Counties ♿ .... (435) 915-3424

Community Nursing Services (CNS) - Brigham Office ............... (435) 723-4404

Community Nursing Services (CNS) - Logan Office ............................. (435) 752-3355

Encompass Health Home Health - Providence ♿.................. (435) 753-7001



Rocky Mountain Care - Logan ............................. (435) 753-8220

Signature Healthcare at Home - Logan ................. (801) 463-2478

Sunshine Home Health & Hospice ♿ ................... (435) 716-8553

Symbii Home Health and Hospice - Layton ..... (801) 444-0221

Canyon County, ID Encompass Home

Health of Idaho - Nampa ........................... (208) 461-1600

Carbon County Community Nursing

Services (CNS) - Price Office ............................. (435) 613-8887

IHC Homecare Home Health Mt. Pleasant ♿ .... (435) 462-3431

Rocky Mountain Care - Price ............................... (435) 637-8070

Rocky Mountain Care - Price ............................... (435) 637-0665

Daggett County Good Shepherd

Homecare ...................... (435) 789-0499

Davis County A Step Forward -

Clearfield ♿ .................... (801) 562-8564 Applegate Homecare &

Hospice - Salt Lake ♿ ..... (801) 261-3023 Canyon Home Care &


Network - Davis/Weber/Morgan Counties ♿ ..................... (801) 547-0060

Community Nursing Services (CNS) - Layton Office ............................. (801) 774-4960

Cozy Healthcare Home Health & Hospice ........... (801) 278-4663

Dignity Home Health - Weber/Davis County ..... (801) 492-4892


Heartwood Home Health & Hospice ........... (801) 261-9490

Homewatch CareGivers of Layton ♿ .................... (801) 608-1552

IHC Homecare Home Health Fillmore ♿........... (435) 743-8821

IHC Homecare Home Health Ogden ♿ ............. (801) 399-1400

IHC Homecare Home Health Salt Lake ♿ ......... (385) 887-6000

Inspiration Home Health . (801) 281-1314 Ivy Lane Pediatrics -

Ogden Office.................. (801) 774-9698 Legacy Health Care -

Layton ............................ (801) 771-9099 Rocky Mountain Care -

Layton ............................ (801) 397-4900 Salus Homecare -

Midvale .......................... (801) 352-7358 Signature Healthcare at

Home - Salt Lake City ..... (801) 463-2478 South Davis Home

Health & Hospice ........... (801) 298-8983 Summit Home Health -

Layton Office ................. (801) 542-7150 Symbii Home Health

and Hospice - Layton ..... (801) 444-0221

Tender Care Home Health & Hospice ♿ ........ (801) 294-0560

Utah Home Health & Hospice ........................... (801) 335-6455

Duchesne County Good Shepherd

Homecare ....................... (435) 789-0499 Uintah Basin Home

Health / Hospice ............. (435) 722-4691

Emery County Community Nursing

Services (CNS) - Price Office .............................. (435) 613-8887

IHC Homecare Home Health Mt. Pleasant ♿ .... (435) 462-3431

Franklin County, ID Signature Healthcare at

Home - Preston .............. (208) 852-1699

Garfield County Zion's Way Home Health

& Hospice - Kanab .......... (435) 688-0648

Grand County Community Nursing

Services (CNS) - Moab Office .............................. (435) 259-0466

Iron County Encompass Health

Home Health - St. George ♿ ........................ (435) 634-9300

Horizon Home Health - Cedar City ♿ ㏄ ............... (435) 865-7481

IHC Homecare Home Health Cedar City ♿ ........ (435) 868-5852

Zion's Way Home Health & Hospice - Blanding ...... (435) 688-0648

Zion's Way Home Health & Hospice - Cedar City .... (435) 688-0648

Juab County Central Valley Home

Health and Hospice ........ (435) 623-3050 Gunnison Valley Home

Health and Hospice ........ (435) 528-7246 IHC Homecare Home

Health Mt. Pleasant ♿ .... (435) 462-3431 Maple Creek Home

Health and Hospice ♿ ..... (801) 798-5333

Kane County Encompass Health

Home Health - Kanab ..... (435) 644-2200 Encompass Home

Health of Utah - Kanab ... (435) 644-2200


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IHC Homecare Home Health St. George ♿ ....... (435) 251-2367

Zion's Way Home Health & Hospice - Kanab .......... (435) 688-0648

Madison County, ID Encompass Home

Health of Idaho - Rexburg ♿ ...................... (208) 356-7087

Morgan County Canyon Home Care &


Network - Davis/Weber/Morgan Counties ♿ ..................... (801) 547-0060

Community Nursing Services (CNS) - Ogden Office ............................. (801) 476-0088


IHC Homecare Home Health Ogden ♿ ............. (801) 399-1400


Symbii Home Health and Hospice - SLC ........... (801) 433-0344

Payette County, ID Encompass Home

Health and Hospice of Idaho - Fruitland ............ (208) 452-4972

Piute County IHC Homecare Home

Health Richfield ♿ .......... (435) 893-0371

Rich County Canyon Home Care &

Hospice Ogden ♿ ........... (801) 475-5300 Community Nursing

Services (CNS) - Brigham Office ............... (435) 723-4404

Community Nursing Services (CNS) - Logan Office ............................. (435) 752-3355


Salt Lake County A Step Forward -

Murray ........................... (801) 562-8564 Applegate Homecare &

Hospice - Salt Lake ♿ ...... (801) 261-3023 Ashby Health Care ♿ ........ (801) 478-2521

Canyon Home Care & Hospice Salt Lake ♿ ....... (801) 485-6166

Caregiver Support Network - Salt Lake County ♿ ........................ (801) 747-2100

Community Nursing Services (CNS) - Infusion Pharmacy ......... (801) 233-6120

Community Nursing Services (CNS) - Salt Lake Corporate Office .... (801) 233-6100

Cozy Healthcare Home Health & Hospice ........... (801) 278-4663

Dignity Home Health - Salt Lake County ............ (801) 649-5038

Encompass Health Home Health - Murray ♿ .................................... (801) 747-5500

First Choice Home Health & Hospice - Murray ........................... (801) 685-2233

Hearts for Hospice & Home Health - Salt Lake City ........................ (888) 772-0243

Heartwood Home Health & Hospice ........... (801) 261-9490

Home Watch CareGivers of Salt Lake ♿ ................. (801) 746-1080

Homewatch CareGivers of Sandy ......................... (801) 309-0718

Homewatch CareGivers of West Jordan .............. (385) 482-4269

Horizon Home Health & Hospice - Salt Lake City ♿ ㏄ ............................... (801) 359-5437

Icare Home Health and Hospice .......................... (801) 228-0411

IHC Homecare Home Health Fillmore ♿........... (435) 743-8821

IHC Homecare Home Health Salt Lake ♿ ......... (385) 887-6000

Ivy Lane Pediatrics - Salt Lake Office ..................... (801) 728-4694

Legacy Health Care - Cottonwood Heights...... (385) 831-7074

Maxim Healthcare Services .......................... (801) 685-7070

Rocky Mountain Care - Salt Lake City ................. (801) 397-4900

Salus Homecare - Midvale .......................... (801) 352-7358

Signature Healthcare at Home - Murray .............. (801) 463-2478

Signature Healthcare at Home - Salt Lake City ..... (801) 463-2478

Summit Home Health - Main Office ..................... (801) 542-7150

Superior Home Care and Hospice ♿ ....................... (801) 254-3200

Symbii Home Health and Hospice - SLC ........... (801) 433-0344

Synergy Homecare ♿ ㏄ ... (801) 946-0355 Tender Care Home

Health & Hospice ♿ ........ (801) 294-0560 Total Knee and Hip

Rehabilitation ................. (801) 576-6417

San Juan County Community Nursing

Services (CNS) - Moab Office .............................. (435) 259-0466

Rocky Mountain Care - Blanding ......................... (435) 678-3266

Sanpete County Gunnison Valley Home

Health and Hospice ........ (435) 528-7246 IHC Homecare Home

Health Mt. Pleasant ♿ .... (435) 462-3431 Maple Creek Home

Health and Hospice ♿ ..... (801) 798-5333 Zion's Way Home Health

& Hospice - Cedar City .... (435) 688-0648 Zion's Way Home Health

& Hospice - Richfield ..

Documents

Healthy U Table of Contents...Jun 13, 2020 · Directories are subject to change. Members may be responsible for out-of-pocket expenses if a provider is non-participating. Members