Healthcare Provider Details

I. General information

NPI: 1497316772
Provider Name (Legal Business Name): FRIENDS OF SWITCHPOINT INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2019
Last Update Date: 06/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

948 N 1300 W # 1
ST GEORGE UT
84770-4965
US

IV. Provider business mailing address

948 N 1300 W # 1
ST GEORGE UT
84770-4965
US

V. Phone/Fax

Practice location:
  • Phone: 435-628-9310
  • Fax: 435-319-4365
Mailing address:
  • Phone: 435-628-9310
  • Fax: 435-319-4365

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: CAROL HOLLOWELL
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 435-628-9310