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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