NPIMap

Organization Active NPI

Southwest Utah Community Health Center

Doing business as d/b/a Family Healthcare

  • Clinic/Center
  • Cedar City, UT
National Provider Identifier
1073988077
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SOUTHWEST UTAH COMMUNITY HEALTH CENTER
Doing business as
d/b/a Family Healthcare
Practice address
245 East 680 South
Family Healthcare Center East Clinic
Cedar City, UT 84720
Phone
(435) 865-1387
Fax
(435) 865-6357
NPI assigned
Dec 2, 2015
Last updated
Sep 1, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHWEST UTAH CUMMUNITY HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Authorized official

Name
Lorraine Wright
Title
Ceo
Phone
(435) 879-5101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X UT Primary

Addresses

Primary practice location

245 East 680 South
Family Healthcare Center East Clinic
Cedar City, UT 84720

Mailing address

2276 E Riverside Dr
Saint George, UT 84790-2636
Phone (435) 986-2565

Other identifiers 1

IdentifierTypeStateIssuer
461846OtherUTUGS

Other names 1

  • d/b/a Family Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050412000991 UT Part B Supplier - Clinic/Group Practice 5799692398 Receives reassigned benefits from 35 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cedar City, UT; Hurricane, UT; St George, UT
O20150722003666 UT Part A Provider - Federally Qualified Health Center (FQHC) 5799692398 1 other NPI on this enrollment
Practice locations: Cedar City, UT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073988077. Details of each certification follow.

Federally qualified health center certification: CCN 461846

Legal name
SOUTHWEST UTAH COMMUNITY HEALTH CENTER
Doing business as
FAMILY HEALTHCARE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 6, 2015
Last certification
Jul 6, 2015
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 7, 2002 in UT
Enrollment address
245 E 680 S
Cedar City, UT 84720-3593

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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.

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Greg B Walker Individual Corporate DirectorBoard Member Jun 8, 2010
Richard M Isom Individual Corporate DirectorBoard Member Dec 13, 2011
Lorraine B Wright Individual Corporate OfficerCeo Jun 11, 2015
W-2 Managing EmployeeCeo Oct 31, 2014
Del Beatty Individual Corporate DirectorBoard Member Aug 12, 2014
Darin Day Individual Corporate DirectorBoard Member Aug 12, 2014
Sherri L Dial Individual Corporate DirectorBoard Member Apr 8, 2014
Southwest Utah Community Health Center Organization, St George, UT Non-profit 5% Or Greater Direct Ownership Interest Aug 1, 2015 100%
Rita Osborn Individual Corporate DirectorBoard Member Oct 8, 2013
Tina Allen-Heward Individual Corporate DirectorBoard Member Feb 23, 2015
Jackelyn Jazmin Choto Individual Corporate Officer Aug 6, 2019
Mary Hatch Individual Corporate DirectorBoard Member Dec 10, 2003

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Family HealthcareSpringdale, UT, CCN 461000 Federally qualified health center Other (100%) Nov 1, 2023

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1073988077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2276 E RIVERSIDE DR",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847902636",
            "telephone_number": "435-986-2565",
            "fax_number": "435-986-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 EAST 680 SOUTH",
            "address_2": "FAMILY HEALTHCARE CENTER EAST CLINIC",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "84720",
            "telephone_number": "435-865-1387",
            "fax_number": "435-865-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST UTAH COMMUNITY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHWEST UTAH CUMMUNITY HEALTH CENTER",
        "enumeration_date": "2015-12-02",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "435-879-5101"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UGS",
            "identifier": "461846",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "d/b/a Family Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "d/b/a Family Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar City, UT

Sources for this page

Verify at the official NPI Registry.