Southwest Center
Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · St George, UT
NPI 1548212640 · NPPES record last updated Dec 11, 2007
Key facts
- NPI
- 1548212640
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
- Legal business name
- SOUTHWEST CENTER
- Practice address
- 474 W 200 N
#300
St George, UT 84770-4505 - Phone
- (435) 634-5600
- Fax
- (435) 986-8700
- NPI assigned
- May 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Art W Sawyer
- Title
- Accounts Receivable Coordinator
- Phone
- (435) 634-5621
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 3
Practitioners 87
-
Christine Anderson, LCSW
-
Russell Bingham, ACMHC
-
John Delor Brown Jr., LCSW
-
Steven Blair Child, LCSW
-
Joseph Coombs, LPC
-
Scott Corsi, LCSW
-
Ammon D Demke, LCSW
-
Ryan L Heck, LCSW
-
Branon Johnson, LPC
-
Roger Kay Lister, LCSW
-
Carlton Mangum, SSW
-
Tara J McCormick, LCSW
-
Karin Miller, ICSW
-
Erik Rice, CMHC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050629000639 | UT | Part B Supplier - Clinic/Group Practice | 0941246086 |
Receives reassigned benefits from 29 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: St George, UT; Saint George, UT; Panguitch, UT; Kanab, UT; Cedar City, UT; Beaver, UT; Hurricane, UT |
National Provider Directory
- Tax ID family
- Southwest Behavioral Health Center
Locations
912 N 2175 W
Cedar City, UT 84721
Phone (435) 586-4078
176 S Regional Park Rd
Hurricane, UT 84737
Phone (435) 868-8612
310 S 100 E
Ste 11
Kanab, UT 84741
Phone (435) 644-2880
445 N Main St
Kanab, UT 84741
Phone (435) 644-2537
230 N 1680 E
Ste L2
St George, UT 84790
Phone (435) 251-9979
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Yes |
Addresses
Primary practice location
474 W 200 N
#300
St George, UT 84770-4505
Mailing address
474 W 200 N
#300
St George, UT 84770-4505
Phone (435) 634-5600
Other names
- Southwest Center
Other providers in St George, UT
- Southern Utah Surgical Arts
- Southern Utah Surgical Arts
- Southwest Behavioral Health Center
- Southwest Behavioral Health Center
- Southwest Center
- Southwest Center
- Southwest Dysphagia Solutions, Professional Corporation
- Southwest Internal Medicine, P. C.
- Southwest Medical Supplies, LLC
- Southwest Musculoskeletal Medicine Clinic PC
All providers in St George, UT · Substance Use Disorder Rehabilitation Clinic/Center in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.