SOUTHERN UTAH HEALTH & RECOVERY


Address: 260 W Saint George Blvd Ste 202b, St George, UT 84770-3792
Phone: 4355252410

SOUTHERN UTAH HEALTH & RECOVERY (NPI# 1275034084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275034084
Entity Type Organization
Organization Name SOUTHERN UTAH HEALTH & RECOVERY
Practice Address 260 W Saint George Blvd Ste 202b
St George
UT 84770-3792
Practice Telephone 4355252410
Mailing Telephone 4355252410
Enumeration Date 2018-02-27
Last Update Date 2018-02-27
Authorized Official Name ADON L. PEARSON (PART OWNER)
Authorized Official Telephone 4355252410
Authorized Official Credential PA-C
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0401X Family Medicine
Specialization: Addiction Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 260 W SAINT GEORGE BLVD STE 202B
City ST GEORGE
State UT
Zip Code 84770-3792

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1992242549 Zachary Carey Specialist/Technologist 1115 W Diamond Valley Dr, Saint George, UT 84770 2017-01-20
1669920427 Charles Taylor Church Technician, Other 474 West 200 East, St. George, UT 84770 2016-09-21
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Taxonomy Information

Taxonomy Code 207QA0401X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Addiction Medicine

Taxonomy Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1467089607 Mat Ventures Family Medicine 8388 S Wasatch Blvd, Cottonwood Heights, UT 84121-6075 2020-03-26
1407481245 Odyssey House Inc Family Medicine 743 E 300 S, Salt Lake City, UT 84102 2020-03-11
1033742994 Mobile Vivitrol Family Medicine 46 N Foxhill Rd, North Salt Lake, UT 84054-3027 2020-02-19
1518516210 Cuicui Zhang Family Medicine 8686 S 1300 E # L102l104, Sandy, UT 84094-1947 2019-09-05
1003070111 Robert Joel Bush Family Medicine 74 S 360 E, American Fork, UT 84003 2008-07-17
1376577049 Sean Anthony Ponce Family Medicine 3802 S 700 E, Salt Lake City, UT 84106-1182 2006-07-10
1538114889 Daniel Clyde Cummings Family Medicine 694 N 1890 W Unit 44a, Provo, UT 84601-1327 2006-05-24
1457355869 Charles Wesley Walton Family Medicine 11286 N Tamarack Dr, Highland, UT 84003-9595 2005-06-13
1174136113 Amir Haskic Family Medicine 2870 E 3300 S, Salt Lake City, UT 84109-2821 2020-08-28
1598267122 Utah Addiction Medicine Family Medicine 619 N 500 W, Provo, UT 84601-1547 2018-02-28
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Competitor

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City ST GEORGE
Zip Code 84770

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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