Organization
SOUTHWEST UTAH COMMUNITY HEALTH CENTER
Active
Organization
SOUTHWEST UTAH COMMUNITY HEALTH CENTER
Active
Other names
Family Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI B WRIGHT MPA (CHIEF EXECUTIVE OFFICER)
(435) 879-5101
Entity
Organization
Contact information
Practice address
2276 E RIVERSIDE DR, ST GEORGE, UT 84790-2636
(435) 879-5101
(435) 628-8945
Mailing address
2276 E RIVERSIDE DR, ST GEORGE, UT 84790-2636
(435) 879-5101
(435) 628-8945
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
308134-1204
UT
207Q00000X
Family Medicine Physician
5333623-1204
UT
261QF0400X
Federally Qualified Health Center (FQHC)
4921739 0140
UT
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
4921739-0140
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000057177
MEDICARE ID #
UT
Enumeration date
12/30/2005
Last updated
08/31/2022
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