NPIMap

Organization Active NPI

Southwest Utah Public Health Dept

  • Public Health or Welfare Agency
  • St George, UT
National Provider Identifier
1306841606
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
SOUTHWEST UTAH PUBLIC HEALTH DEPT
Practice address
620 S 400 E Ste 400
St George, UT 84770-7063
Phone
(435) 673-3528
Fax
(435) 628-6425
NPI assigned
Jun 15, 2005
Last updated
Oct 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Authorized official

Name
Mr. David Blodgett, MDNPI 1902098429
Title
Director Health Officer
Phone
(435) 673-3528

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU Primary

Addresses

Primary practice location

620 S 400 E Ste 400
St George, UT 84770-7063

Mailing address

620 S 400 E Ste 400
St George, UT 84770-7063
Phone (435) 673-3528

Other identifiers 6

IdentifierTypeStateIssuer
010007072OtherUTRAILROAD MEDICARE
PRA03223OtherUTMOLINA
*0081MedicaidUT
33255OtherUTPEHP
103000705103OtherUTIHC
35570OtherUTDESERET MUTUAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031103000442 UT Part B Supplier - Public Health/Welfare Agency 8820900459 Practice locations: St George, UT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D0701050Southwest Utah Public Health Dept620 S 400 E #400, St George, UT 84770Certificate of waiverFeb 29, 2028

National Provider Directory

National Provider Directory
Tax ID family
S W D Heal DPT3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

260 Dl Sargent Dr
Cedar City, UT 84721
Phone (435) 586-2347

445 N Main St
Kanab, UT 84741
Phone (435) 644-2537

168 N 100 E
St George, UT 84770
Phone (435) 673-3528

Practitioners & affiliated clinicians

Practitioners 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1306841606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 S 400 E STE 400",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847707063",
            "telephone_number": "435-673-3528",
            "fax_number": "435-628-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S 400 E STE 400",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847707063",
            "telephone_number": "435-673-3528",
            "fax_number": "435-628-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST UTAH PUBLIC HEALTH DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "BLODGETT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR HEALTH OFFICER",
        "authorized_official_telephone_number": "435-673-3528",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "010007072",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA",
            "identifier": "PRA03223",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "*0081",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "33255",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHC",
            "identifier": "103000705103",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DESERET MUTUAL",
            "identifier": "35570",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.