Organization
SOUTHWEST UTAH PUBLIC HEALTH DEPT
Active
Organization
SOUTHWEST UTAH PUBLIC HEALTH DEPT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID BLODGETT MD (DIRECTOR HEALTH OFFICER)
(435) 673-3528
Entity
Organization
Contact information
Practice address
620 S 400 E STE 400, ST GEORGE, UT 84770-7063
(435) 673-3528
(435) 628-6425
Mailing address
620 S 400 E STE 400, ST GEORGE, UT 84770-7063
(435) 673-3528
(435) 628-6642
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
*0081
—
UT
01
—
010007072
RAILROAD MEDICARE
UT
01
—
103000705103
IHC
UT
01
—
33255
PEHP
UT
01
—
35570
DESERET MUTUAL
UT
01
—
PRA03223
MOLINA
UT
Enumeration date
06/15/2005
Last updated
10/08/2008
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