Organization
SOUTHERN UTAH UNIVERSITY
Active
Other names
Community & Family Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VERGEANIA P. DAVENPORT (PROGRAM MANAGER)
(435) 586-6070
Entity
Organization
Contact information
Practice address
2390 W HWY 56, STE 1, CEDAR CITY, UT 84720
(435) 586-6070
(435) 586-5232
Mailing address
PO BOX 142001, SALT LAKE CITY, UT 84114-2001
(435) 856-6070
(435) 586-5232
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
N/A
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8760000545631
—
UT
01
—
HT001413-001
PARTNER ID
UT
Enumeration date
09/27/2006
Last updated
06/26/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up