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General NPI Number Information
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NPI Number | 1548588247
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Entity Type | Organization
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Legal Business Name | SOUTHWEST UTAH COMMUNITY HEALTH CENTER, INC
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Dates
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Enumeration Date | 05/06/2010
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Last Update Date | 09/01/2022
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Provider Practice Location Address
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Address Line | 74 W. HARDING AVE
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City | CEDAR CITY
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State | UT
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Zip | 84720
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Country | US
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Telephone | 435-986-2565
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Fax |
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Provider Business Mailing Address
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Address Line | 2276 E RIVERSIDE DR
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City | ST GEORGE
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State | UT
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Zip | 84790-2636
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Country | US
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Telephone | 435-986-2565
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MS. LORRIANE WRIGHT
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Credential |
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Telephone | 435-879-5101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number | 49217390140
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License Number State | UT
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