NPIMap

Organization Active NPI

Southwest Utah Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Hurricane, UT
National Provider Identifier
1780090944
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
4921739-0140 Issued in UT
Legal business name
SOUTHWEST UTAH COMMUNITY HEALTH CENTER
Practice address
391 North 200 West
Hurricane, UT 84737-1616
Phone
(435) 634-8500
NPI assigned
Jul 9, 2014
Organization subpart
No

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
Chief Executive Officer
Phone
(435) 986-2565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 4921739-0140 UT Primary

Addresses

Primary practice location

391 North 200 West
Hurricane, UT 84737-1616

Mailing address

2276 E Riverside Dr
St George, UT 84790-2636
Phone (435) 879-5101

Other names 1

  • 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
O20140924001857 UT Part A Provider - Federally Qualified Health Center (FQHC) 5799692398 Practice locations: Hurricane, UT

Federally qualified health center certification: CCN 461843

Legal name
SOUTHWEST UTAH COMMUNITY HEALTH CENTER
Doing business as
FAMILY HEALTHCARE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 24, 2014
Last certification
Sep 24, 2014
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 7, 2002 in UT
Enrollment address
391 N 200 W
Hurricane, UT 84737-1616

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 Healthcare Pharmacy9 organizations share this tax ID, including this one

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 9

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 Chair Jun 8, 2010
Richard M Isom Individual Corporate Director Dec 13, 2011
Lorraine B Wright Individual Contracted Managing Employee Oct 27, 2014
Corporate Officer Oct 27, 2014
Del Beatty Individual Corporate Director Aug 12, 2014
Sherri L Dial Individual Corporate Director Apr 8, 2014
Rita Osborn Individual Corporate Director Oct 8, 2013
Tina Allen-Heward Individual Corporate Director Mar 1, 2015
Jackelyn Jazmin Choto Individual Corporate OfficerCfo Aug 6, 2019
Mary Hatch Individual Corporate Director Dec 10, 2003

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Family HealthcareCedar City, UT, CCN 461846 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2015
Family HealthcareSpringdale, UT, CCN 461000 Federally qualified health center Other (100%) Nov 1, 2023

Owned or controlled facilities with NPI records 3

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

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1780090944",
    "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": "435-879-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 NORTH 200 WEST",
            "city": "HURRICANE",
            "state": "UT",
            "postal_code": "847371616",
            "telephone_number": "435-634-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST UTAH COMMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "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": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "435-986-2565"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "UT",
            "license": "4921739-0140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hurricane, UT

Sources for this page

Verify at the official NPI Registry.