NPIMap

Organization Active NPI

Southwest Utah Community Health Center, Inc

Doing business as Family Healthcare

  • Pharmacy
  • St George, UT
National Provider Identifier
1053059865
Registry record updated Mar 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
SOUTHWEST UTAH COMMUNITY HEALTH CENTER, INC
Doing business as
Family Healthcare
Practice address
2276 E Riverside Dr.
St. George, UT 84790
Phone
(435) 986-2565
NPI assigned
May 23, 2022
Last updated
Mar 11, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHWEST UTAH COMMUNITY HEALTH CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kevkin D. Jones, RPH
Title
340B Manager
Phone
(435) 359-9899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

2276 E Riverside Dr.
St. George, UT 84790

Mailing address

2276 E Riverside Dr.
St. George, UT 84790
Phone (435) 359-9899

Other names 2

  • Family Healthcare Doing business as
  • Family Healthcare Pharmacy 340B Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL NA

National Provider Directory

National Provider Directory
Tax ID family
Family Healthcare9 organizations share this tax ID, including this one
Part of
Family Healthcare

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2276 E Riverside Dr
St George, UT 84790
Phone (435) 986-2565

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678492800000",
    "number": "1053059865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2276 E RIVERSIDE DR.",
            "city": "ST. GEORGE",
            "state": "UT",
            "postal_code": "84790",
            "telephone_number": "435-359-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2276 E RIVERSIDE DR.",
            "city": "ST. GEORGE",
            "state": "UT",
            "postal_code": "84790",
            "telephone_number": "435-986-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST UTAH COMMUNITY HEALTH CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHWEST UTAH COMMUNITY HEALTH CENTER, INC",
        "enumeration_date": "2022-05-23",
        "last_updated": "2023-03-11",
        "certification_date": "2023-03-11",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KEVKIN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "340B MANAGER",
        "authorized_official_telephone_number": "435-359-9899",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "2276 E Riverside Dr.",
            "city": "St. George",
            "state": "UT",
            "country_code": "US",
            "postal_code": "84790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Family Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Healthcare Pharmacy 340B",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.