Organization Active NPI

Southeastern Utah District Health Department

  • Public Health or Welfare Agency
  • Price, UT
National Provider Identifier
1992811467
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
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

Updated by the provider on Aug 15, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
600000399OtherUTRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Department3 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

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.

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

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.

Verify at the official NPI Registry.