Provider Demographics
NPI:1548079825
Name:SOUTHWEST UTAH COMMUNITY HEALTH CENTER, INC
Entity type:Organization
Organization Name:SOUTHWEST UTAH COMMUNITY HEALTH CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-986-2565
Mailing Address - Street 1:2276 E RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-2636
Mailing Address - Country:US
Mailing Address - Phone:435-986-2565
Mailing Address - Fax:435-628-8949
Practice Address - Street 1:189 N MAIN ST
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-2823
Practice Address - Country:US
Practice Address - Phone:435-986-2565
Practice Address - Fax:435-628-8949
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAMILY HEALTHCARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty