PAIUTE INDIAN TRIBE OF UTAH (NPI# 1558590539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558590539 |
| Entity Type | Organization |
| Organization Name | PAIUTE INDIAN TRIBE OF UTAH |
| Other Organization Name | SHIVWITS MEDICAL CLINIC |
| Practice Address |
3705 N 6100 W Ivins UT 84738 |
| Mailing Address |
440 N Paiute Dr Cedar City UT 84721-6181 |
| Practice Telephone | 4356888198 |
| Practice Fax Number | 4358671514 |
| Mailing Telephone | 4355861112 |
| Mailing Fax Number | 4358671514 |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2010-04-26 |
| Authorized Official Name | MRS. JUDY K CRANFORD (HEALTH DEPARTMENT DIRECTOR) |
| Authorized Official Telephone | 4355861112 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Other Name | Type Code |
|---|---|
| SHIVWITS MEDICAL CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275762254 | Paiute Indian Tribe of Utah | Prosthetic/Orthotic Supplier | 157 N Paiute Dr Reservation Rd., Kanosh, UT 84637 | 2009-07-10 |
| 1801063441 | Paiute Indian Tribe of Utah | Clinic/Center | 3705 N 6100 W, Ivins, UT 84738 | 2008-05-13 |
| 1992972525 | Paiute Indian Tribe of Utah | Clinic/Center | 157 N Paiute Dr Reservation Rd, Kanosh, UT 84637 | 2008-05-13 |
| 1104288521 | Paiute Indian Tribe of Utah | Case Management | 440 N Paiute Dr, Cedar City, UT 84721-6181 | 2016-03-24 |
| 1942693213 | Paiute Indian Tribe of Utah | Community/Behavioral Health | 440 N Paiute Dr, Cedar City, UT 84721-6181 | 2015-03-11 |
| 1487087078 | Paiute Indian Tribe of Utah | Non-emergency Medical Transport (VAN) | 440 N Paiute Dr, Cedar City, UT 84721-6181 | 2013-08-19 |
| 1629207600 | Paiute Indian Tribe of Utah | Prosthetic/Orthotic Supplier | 826 N 100 E, Richfield, UT 84701 | 2009-07-10 |
| 1578792883 | Paiute Indian Tribe of Utah | Prosthetic/Orthotic Supplier | 440 N Paiute Dr, Cedar City, UT 84721-6181 | 2009-07-08 |
| 1336316975 | Paiute Indian Tribe of Utah | Clinic/Center | 826 N 100 E, Richfield, UT 84701 | 2008-05-13 |
| 1700062296 | Paiute Indian Tribe of Utah | Clinic/Center | 440 N Paiute Dr, Cedar City, UT 84720-2681 | 2008-01-14 |
| Street Address |
3705 N 6100 W |
| City | IVINS |
| State | UT |
| Zip Code | 84738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801063441 | Paiute Indian Tribe of Utah | Clinic/Center | 3705 N 6100 W, Ivins, UT 84738 | 2008-05-13 |
| 1447655063 | Heather Reynolds | Physician Assistant | 3705 N 6100 W, Ivins, UT 84738 | 2014-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366783466 | Avalon Care Center - Va Ivins, LLC | Skilled Nursing Facility | 160 North 200 East, Ivins, UT 84738 | 2013-03-14 |
| 1639274574 | Mark Lee Wardle | Family Medicine | 255 E Center St, Ivins, UT 84738 | 2006-09-14 |
| 1083670459 | Raymond Jack Middleton | Family Medicine | 653 South 170 West, Ivins, UT 84738 | 2006-04-25 |
| 1316182678 | Scott Robert Moore | Massage Therapist | 565 S 250 E, Ivins, UT 84738-5010 | 2008-12-15 |
| 1700331162 | At Home Care and Health Services | In Home Supportive Care | 639 S 315 E, Ivins, UT 84738-5054 | 2016-08-16 |
| 1609315431 | At Home Care and Health Services LLC | Private Vehicle | 639 S 315 E, Ivins, UT 84738-5054 | 2017-02-13 |
| 1841515889 | Donna Alexander | Speech-Language Pathologist | 302 S 380 W, Ivins, UT 84738-5104 | 2010-04-01 |
| 1649353822 | Superior Audiology Inc | Audiologist | 920 Mesa Vista Dr, Ivins, UT 84738-6027 | 2006-10-23 |
| 1952524266 | Benita Kruzel | Radiology | 313 Painted Hills Dr, Ivins, UT 84738-6082 | 2007-04-11 |
| 1770939472 | Wwb | Internal Medicine | 160 N 200 E, Ivins, UT 84738-6100 | 2016-05-11 |
| Find all providers in zip 84738 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578035713 | Feminine Forms LLC | Prosthetic/Orthotic Supplier | 345 S 500 E, American Fork, UT 84003-2525 | 2018-12-28 |
| 1841761095 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 4225 W Lake Park Blvd Ste 225, West Valley City, UT 84120-8213 | 2018-12-16 |
| 1114441441 | Asd Sleep LLC | Prosthetic/Orthotic Supplier | 1957 W Royal Hunte Dr, #250, Cedar City, UT 84720 | 2017-07-28 |
| 1992226302 | Freedom Prosthetic & Orthotics, LLC | Prosthetic/Orthotic Supplier | 356 E 600 S, St George, UT 84770-3949 | 2017-07-06 |
| 1356792634 | Fit Prosthetics LLC | Prosthetic/Orthotic Supplier | 154 E Myrtle Ave, Suite #100, Murray, UT 84107-4849 | 2016-06-28 |
| 1750760369 | Women Restore LLC | Prosthetic/Orthotic Supplier | 1171 Expressway Ln, Spanish Fork, UT 84660-1331 | 2015-05-28 |
| 1114306891 | Northwest Orthotics & Prosthetics | Prosthetic/Orthotic Supplier | 642 Kirby Ln Ste 103, Spanish Fork, UT 84660-5753 | 2015-05-27 |
| 1457752503 | Eaze Bracing | Prosthetic/Orthotic Supplier | 1324 W 7125 S, West Jordan, UT 84084 | 2014-09-09 |
| 1851686588 | Walking Comfort LLC. | Prosthetic/Orthotic Supplier | 627 W. Marketplace Dr., Centerville, UT 84014-0000 | 2011-06-10 |
| 1205155777 | Jenco Prosthetics & Orthotics, LLC | Prosthetic/Orthotic Supplier | 7026 South Commerce Park Dr, Suite 2, Midvale, UT 84047-1026 | 2010-05-24 |
| Find all providers with the same taxonomy | ||||
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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.