Southern Utah University

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

N/A

Legal business name

SOUTHERN UTAH UNIVERSITY

Doing business as

Community & Family Health Services

Practice address

2390 W Hwy 56
Ste 1
Cedar City, UT 84720

Phone

(435) 586-6070

Fax

(435) 586-5232

NPI assigned

Sep 27, 2006

Last updated

Jun 26, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Vergeania P. Davenport

Title

Program Manager

Phone

(435) 586-6070

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Community & Family Health Services Doing business as

Locations

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1295826865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 142001",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841142001",
            "telephone_number": "435-856-6070",
            "fax_number": "435-586-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 W HWY 56",
            "address_2": "STE 1",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "84720",
            "telephone_number": "435-586-6070",
            "fax_number": "435-586-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN UTAH UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "VERGEANIA",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "435-586-6070",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8760000545631",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNER ID",
            "identifier": "HT001413-001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community & Family Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Developmentally Disabled Services Day Training Agency in Cedar City, UT
• Providers in Cedar City, UT by specialty
• Developmentally Disabled Services Day Training Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.