Southwest Utah Community Health Center, Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

49217390140 Issued in UT

Legal business name

SOUTHWEST UTAH COMMUNITY HEALTH CENTER, INC

Doing business as

Cedar City Community Clinic

Practice address

74 W. Harding Ave
Cedar City, UT 84720

Phone

(435) 986-2565

NPI assigned

May 6, 2010

Last updated

Sep 1, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

SOUTHWEST UTAH COMMUNITY HEALTH CENTERAs reported in NPPES

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

Authorized official

Name

Ms. Lorriane Wright

Title

Chief Executive Officer

Phone

(435) 879-5101

Specialties & licenses 1

Addresses

Other names 1

• Cedar City Community Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in UT2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1548588247. Details of each certification follow.

• CCN 461864 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 461864

Legal name

SOUTHWEST UTAH COMMUNITY HEALTH CENTER

Doing business as

CEDAR CITY COMMUNITY CLINIC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Feb 27, 2019

Last certification

Feb 27, 2019

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

May 2, 2001 in UT

Enrollment address

74 W Harding Ave
Cedar City, UT 84720-2562

Other NPIs on the same Medicare enrollment 3

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

• Southwest Utah Community Health Center

  dba d/b/a Family Healthcare

  • Clinic/Center
  • Cedar City, UT
  • NPI 1073988077

  O20050412000991

  Same enrollment
• Southwest Utah Community Health Center

  dba Family Healthcare

  • Federally Qualified Health Center (FQHC)
  • St George, UT
  • NPI 1659358687

  O20050412000991, O20100621000667

  Same enrollment
• Southwest Utah Community Health Center

  dba Family Healthcare

  • Federally Qualified Health Center (FQHC)
  • Hurricane, UT
  • NPI 1780090944

  O20050412000991

  Same enrollment

Part of

Family Healthcare

Locations

All disclosed owners & managing parties 9

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

Owners & managing parties with NPI records 1

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

• David Glen Grygla, D.O.

  • Hospitalist Physician
  • St George, UT
  • NPI 1518075415

  Corporate Officer

  CMS ownership

Practitioners 7

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.

• Elijah Adam Fielding, PA-C

  • Medical Physician Assistant
  • St George, UT
  • NPI 1255788303
  NPD
• Mahana S Fisher, M.D.

  • Family Medicine Physician
  • Blanding, UT
  • NPI 1700878949
  NPD
• Heather Merrill, FNP

  • Family Nurse Practitioner
  • St George, UT
  • NPI 1033752647
  NPD
• Adam Cristopher Munk

  • Marriage & Family Therapist
  • St George, UT
  • NPI 1861602435
  NPD
• Steve Murdock, PHD, CMHC

  • Mental Health Counselor
  • Provo, UT
  • NPI 1093334070
  NPD
• Spencer W Schmutz, PA-C

  • Physician Assistant
  • St George, UT
  • NPI 1477156214
  NPD
• DJ Zolman Jr.

  • Marriage & Family Therapist
  • Ogden, UT
  • NPI 1215320924
  NPD

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1548588247",
    "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": "847902636",
            "telephone_number": "435-986-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 W. HARDING AVE",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "84720",
            "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",
        "enumeration_date": "2010-05-06",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "LORRIANE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "435-879-5101",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "UT",
            "license": "49217390140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar City Community Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cedar City Community Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southwest Anesthesia
• Southwest Behavioral Health
• Southwest Leasing LLC
• Southwest Spine and Pain Care Specialists, LLC (Southwest Spine and Pain Center)
• Southwest Utah Community Health Center (d/b/a Family Healthcare)
• Southwest Utah Public Health Department
• Paula Elizabeth Sowards, RBT
• Mori Samuel Speakman, MD
• Barbara Jill Spencer, OTR
• Colton Spencer

• Federally Qualified Health Center (FQHC) in Cedar City, UT
• Providers in Cedar City, UT by specialty
• Federally Qualified Health Center (FQHC) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.