SOUTHWEST UTAH COMMUNITY HEALTH CENTER (NPI# 1659358687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659358687 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST UTAH COMMUNITY HEALTH CENTER |
| Other Organization Name | FAMILY HEALTHCARE |
| Practice Address |
25 N 100 E Suite 102 St George UT 84770 |
| Mailing Address |
25 N 100 E Ste 102 St George UT 84770-7369 |
| Practice Telephone | 4358795101 |
| Practice Fax Number | 4356288945 |
| Mailing Telephone | 4358795101 |
| Mailing Fax Number | 4356288945 |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2018-07-18 |
| Authorized Official Name | MRS. LORI B WRIGHT (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4358795101 |
| Authorized Official Credential | MPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
4921739 0140 | UT | Ambulatory Health Care Facilities |
| N | 207Q00000X | Family Medicine | 308134-1204 | UT | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 5333623-1204 | UT | Allopathic & Osteopathic Physicians |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
4921739-0140 | UT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | MEDICARE ID # | 000057177 | 01 |
| Other Name | Type Code |
|---|---|
| Family Healthcare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073988077 | Southwest Utah Community Health Center | Clinic/Center | 245 East 680 South, Family Healthcare Center East Clinic, Cedar City, UT 84720 | 2015-12-02 |
| Street Address |
25 N 100 E SUITE 102 |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427698687 | Kenneth Thomas Fatkin | Marriage & Family Therapist | 25 N 100 E, St George, UT 84770-7368 | 2020-01-15 |
| 1386027373 | Maryellen Langley | Nurse Practitioner | 25 N 100 E, Suite #102, St George, UT 84770 | 2015-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808500 | Redstone Reference Laboratories Inc | Clinical Medical Laboratory | 556 N Dixie Drive, Suite 2, St George, UT 84770 | 2020-07-08 |
| 1033776315 | Ecko Ashmore | Marriage & Family Therapist | 1173 S. 250 W. Bld 1 Ste 208, St. George, UT 84770 | 2019-05-22 |
| 1740844679 | Amy Darragh | Behavior Technician | 249 E Tabernacle St, Ste 100, St George, UT 84770 | 2019-04-25 |
| 1124598198 | Loren Kyle Gulbranson | Internal Medicine | Dixie Regional Medical Center, 515 South, 300 East, Saint George, UT 84770 | 2018-12-03 |
| 1487150728 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 640 East 700 South Building 2, St. George, UT 84770 | 2018-04-04 |
| 1588162911 | Desert Edge Medical | Family Medicine | 1664 S Dixie Dr Ste D201, St George, UT 84770 | 2018-01-31 |
| 1568981314 | Jeffrey Joseph Peterson | Behavior Technician | 162 N 400 E Ste A-105, St. George, UT 84770 | 2017-09-13 |
| 1992242549 | Zachary Carey | Specialist/Technologist | 1115 W Diamond Valley Dr, Saint George, UT 84770 | 2017-01-20 |
| 1669920427 | Charles Taylor Church | Technician, Other | 474 West 200 East, St. George, UT 84770 | 2016-09-21 |
| 1952755480 | Hollystic Hideaway | Voluntary or Charitable | 1418 W Sunset Blvd. # 2, Saint George, UT 84770 | 2016-04-21 |
| Find all providers in zip 84770 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306009576 | Mckinney Community Health Ctr, Inc | Clinic/Center | 253 Georgia Avenue, St George, GA 31537-9687 | 2008-07-08 |
| 1124261425 | Southwest Utah Community Health Center, Inc. | Clinic/Center | 2410 E Riverside Dr, St George, UT 84790-2532 | 2009-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871014092 | Wayne Community Health Centers, Inc | Clinic/Center | 65 North Center Street, Escalante, UT 84776-0276 | 2017-06-28 |
| 1417305087 | Bear Lake Community Health Centers | Clinic/Center | 944 S State Highway 89, Logan, UT 84321-5436 | 2016-05-24 |
| 1780090944 | Southwest Utah Community Health Center, Inc. | Clinic/Center | 391 North 200 West, Hurricane, UT 84737-1616 | 2014-07-09 |
| 1548588247 | Southwest Utah Community Health Center, Inc | Clinic/Center | 74 W. Harding Ave, Cedar City, UT 84720 | 2010-05-06 |
| 1528128899 | Wasatch Homeless Health Care, Inc. | Clinic/Center | 409 W 400 S, Salt Lake City, UT 84101-1135 | 2006-12-09 |
| 1689754475 | Bear Lake Community Health Center | Clinic/Center | 325 W. Logan Hwy, Garden City, UT 84028-0328 | 2006-10-16 |
| 1942317722 | Green River Medical Center Inc | Clinic/Center | 585 West Main St., Box 417, Green River, UT 84525-0417 | 2006-08-25 |
| 1366447112 | Community Health Centers Inc. | Clinic/Center | 1365 W 1000 N, Slc, UT 84116-1654 | 2005-06-17 |
| 1477558237 | Community Health Centers Inc. | Clinic/Center | 8446 Harrison St, Midvale, UT 84047-3568 | 2005-06-17 |
| 1144834771 | Carbon Medical Service Assocation, Incorporated | Clinic/Center | 305 Center St, East Carbon, UT 84520-7726 | 2020-09-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.