Provider Demographics
NPI:1285688515
Name:SOUTHWEST CENTER
Entity Type:Organization
Organization Name:SOUTHWEST CENTER
Other - Org Name:SOUTHWEST BEHAVIORAL HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACCOUNTS RECEIVABLE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:ART
Authorized Official - Middle Name:W
Authorized Official - Last Name:SAWYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-634-5621
Mailing Address - Street 1:474 W 200 N
Mailing Address - Street 2:#300
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-4505
Mailing Address - Country:US
Mailing Address - Phone:435-634-5600
Mailing Address - Fax:435-986-8700
Practice Address - Street 1:474 W 200 N
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-4505
Practice Address - Country:US
Practice Address - Phone:435-634-5600
Practice Address - Fax:435-986-8700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT000055315Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER
UT000055298Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER
UT000055316Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER
UT000055299Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER
UT000055301Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER