SOUTHWEST CENTER (NPI# 1548212640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548212640 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST CENTER |
| Other Organization Name | SOUTHWEST CENTER |
| Practice Address |
474 W 200 N #300 St George UT 84770-4505 |
| Practice Telephone | 4356345600 |
| Practice Fax Number | 4359868700 |
| Mailing Telephone | 4356345600 |
| Mailing Fax Number | 4359868700 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2007-12-11 |
| Authorized Official Name | ART W SAWYER (ACCOUNTS RECEIVABLE COORDINATOR) |
| Authorized Official Telephone | 4356345621 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Southwest Center | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922053586 | Southwest Center | Clinic/Center | 474 W 200 N, #300, St George, UT 84770-4505 | 2006-05-23 |
| 1285688515 | Southwest Center | Clinic/Center | 474 W 200 N, St George, UT 84770-4505 | 2006-05-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOUTHWEST CENTER FOR INDEPENDENCE INC | 3473 Main Ave Ste 23, Durango, CO 81301-4040 |
| System for Award Management (SAM) Entities | SOUTHWEST CENTER FOR PAIN MANAGEMENT, LLC | 40 First Plaza Ctr Nw Ste 62, Albuquerque, NM 87102-6543 |
| Street Address |
474 W 200 N #300 |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84770-4505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538784160 | Mikenda Pearl Busic | Technician, Other | 474 W 200 N, St George, UT 84770-4505 | 2020-06-09 |
| 1912521022 | Dana Moody | Counselor | 474 W 200 N, St George, UT 84770-4505 | 2020-06-04 |
| 1285258533 | Lana Kathleen Wimmer | Counselor | 474 W 200 N, St George, UT 84770-4505 | 2020-06-02 |
| 1558985283 | Abel Ortiz | Social Worker | 474 W 200 N, St George, UT 84770-4505 | 2020-05-28 |
| 1104447960 | Holly Edwards | Registered Nurse | 474 W 200 N, St George, UT 84770-4505 | 2020-05-04 |
| 1275154486 | Kaitlan B Terry | Social Worker | 474 W 200 N, St George, UT 84770-4505 | 2020-04-28 |
| 1265069926 | Lupita Ann Holiday | Technician, Other | 474 W 200 N, St George, UT 84770-4505 | 2020-03-24 |
| 1942835046 | Elizabrth Hagen | Technician, Other | 474 W 200 N, St George, UT 84770-4505 | 2020-03-09 |
| 1215568530 | Willie C Townsend IIi | Case Manager/Care Coordinator | 474 W 200 N, St George, UT 84770-4505 | 2020-01-27 |
| 1649810847 | Luther Knudsen | Technician, Other | 474 W 200 N, St George, UT 84770-4505 | 2020-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808500 | Redstone Reference Laboratories Inc | Clinical Medical Laboratory | 556 N Dixie Drive, Suite 2, St George, UT 84770 | 2020-07-08 |
| 1033776315 | Ecko Ashmore | Marriage & Family Therapist | 1173 S. 250 W. Bld 1 Ste 208, St. George, UT 84770 | 2019-05-22 |
| 1740844679 | Amy Darragh | Behavior Technician | 249 E Tabernacle St, Ste 100, St George, UT 84770 | 2019-04-25 |
| 1124598198 | Loren Kyle Gulbranson | Internal Medicine | Dixie Regional Medical Center, 515 South, 300 East, Saint George, UT 84770 | 2018-12-03 |
| 1487150728 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 640 East 700 South Building 2, St. George, UT 84770 | 2018-04-04 |
| 1588162911 | Desert Edge Medical | Family Medicine | 1664 S Dixie Dr Ste D201, St George, UT 84770 | 2018-01-31 |
| 1568981314 | Jeffrey Joseph Peterson | Behavior Technician | 162 N 400 E Ste A-105, St. George, UT 84770 | 2017-09-13 |
| 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 |
| 1952755480 | Hollystic Hideaway | Voluntary or Charitable | 1418 W Sunset Blvd. # 2, Saint George, UT 84770 | 2016-04-21 |
| Find all providers in zip 84770 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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|---|---|---|---|---|
| 1255943569 | Skull Valley Health Care | Clinic/Center | 1929 N Aaron Dr, Tooele, UT 84074-8112 | 2020-08-18 |
| 1003427923 | Painted Desert Recovery LLC | Clinic/Center | 1947 S 2800 E, New Harmony, UT 84757-5115 | 2020-08-13 |
| 1437780673 | Beecon Recovery | Clinic/Center | 60 S Main St Ste B0001, Brigham City, UT 84302-6795 | 2020-01-27 |
| 1124666870 | One Voice Recovery | Clinic/Center | 1400 S 1100 E, Salt Lake City, UT 84105-2435 | 2019-12-12 |
| 1992343834 | Avante Recovery Center, LLC | Clinic/Center | 848 E 1475 N, Lehi, UT 84043-3568 | 2019-12-11 |
| 1467912139 | Infinite Arches LLC | Clinic/Center | 136 25th St, Ogden, UT 84401-1302 | 2019-03-20 |
| 1669952958 | Utah Harm Reduction Coalition | Clinic/Center | 91 E 7200 S, Midvale, UT 84047-1531 | 2018-08-16 |
| 1871016840 | Breakaway Recovery Center Murray, LLC | Clinic/Center | 5296 S Commerce Dr Ste 204, Murray, UT 84107-5393 | 2017-07-21 |
| 1528580180 | Brighton House LLC | Clinic/Center | 2945 E Robidoux Rd, Sandy, UT 84093-1128 | 2017-07-14 |
| 1316392897 | Nuway Recovery, LLC | Clinic/Center | 4925 S 900 E, Salt Lake City, UT 84117-5784 | 2016-05-03 |
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| 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.