Healthcare Provider Details

I. General information

NPI: 1982405577
Provider Name (Legal Business Name): SLIMWELL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2025
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

736 S 900 E STE 104
ST GEORGE UT
84790-7001
US

IV. Provider business mailing address

PO BOX 790128
VIRGIN UT
84779-0128
US

V. Phone/Fax

Practice location:
  • Phone: 435-292-6492
  • Fax: 434-355-3950
Mailing address:
  • Phone: 435-292-6492
  • Fax: 434-355-3950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. CARMEN E GOTA
Title or Position: PROVIDER
Credential:
Phone: 435-292-6492