Active NPI
Southeastern Utah District Health Department
- Public Health or Welfare Agency
- Price, UT
National Provider Identifier
1992811467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- SOUTHEASTERN UTAH DISTRICT HEALTH DEPARTMENT
- Practice address
- 149 E 100 S
Price, UT 84501-3000 - Phone
- (435) 637-3671
- Fax
- (435) 637-1933
- NPI assigned
- Aug 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bradon Bradford, NPA, MSPH, REHS
- Title
- Health Director
- Phone
- (435) 637-3671
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
149 E 100 S
Price, UT 84501-3000
Mailing address
PO Box 800
Price, UT 84501-0800
Phone (435) 637-3671
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600000399 | Other | UT | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100804000548 | UT | Part B Supplier - Public Health/Welfare Agency | 6709919277 | Practice locations: Castle Dale, UT; Moab, UT; Price, UT |
National Provider Directory
National Provider Directory- Tax ID family
- Southeastern Utah District Health Department
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Price, UT
- NPI 1487858627
-
- Public Health or Welfare Agency
- Price, UT
- NPI 1578767711
Locations
575 S Kane Creek Blvd
Moab, UT 84532
Phone (435) 259-5602
28 S 1st E
Price, UT 84501
Phone (435) 637-2358
149 E 100 S
Price, UT 84501
Phone (435) 637-3671
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacotherapy Pharmacist
- Castle Dale, UT
- NPI 1639227713
-
- Perinatal Registered Nurse
- Castle Dale, UT
- NPI 1053531228
-
- Registered Nurse
- Moab, UT
- NPI 1992139646
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Castle Dale, UT
- NPI 1720477458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660521600000",
"number": "1992811467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 800",
"city": "PRICE",
"state": "UT",
"postal_code": "845010800",
"telephone_number": "435-637-3671",
"fax_number": "435-637-1933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 E 100 S",
"city": "PRICE",
"state": "UT",
"postal_code": "845013000",
"telephone_number": "435-637-3671",
"fax_number": "435-637-1933"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHEASTERN UTAH DISTRICT HEALTH DEPARTMENT",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-21",
"last_updated": "2022-08-15",
"certification_date": "2022-08-15",
"status": "A",
"authorized_official_last_name": "BRADFORD",
"authorized_official_first_name": "BRADON",
"authorized_official_title_or_position": "HEALTH DIRECTOR",
"authorized_official_telephone_number": "435-637-3671",
"authorized_official_credential": "NPA, MSPH, REHS"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "600000399",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Price, UT
- Southeast Chiropractic Incorporated
- Southeastern Utah Association of Local Governments
- Southeastern Utah Association of Local Governments
- Southeastern Utah District Health Department
- Southeastern Utah District Health Department
- Southeastern Utah Emergency Physicians
- Southeastern Utah Eye Clinic PC
- McKenzie Lynn Sowards, FNP/AGACNP-BC
- Gregory A Spence
- Julie T. Sprague, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.