PAIUTE INDIAN TRIBE OF UTAH (NPI# 1578792883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578792883 |
| Entity Type | Organization |
| Organization Name | PAIUTE INDIAN TRIBE OF UTAH |
| Other Organization Name | CEDAR CITY MEDICAL CLINIC |
| Practice Address |
440 N Paiute Dr Cedar City UT 84721-6181 |
| Practice Telephone | 4355861112 |
| Practice Fax Number | 4358671514 |
| Mailing Telephone | 4355861112 |
| Mailing Fax Number | 4358671514 |
| Enumeration Date | 2009-07-08 |
| 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 |
|---|---|
| CEDAR CITY 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 |
| 1558590539 | Paiute Indian Tribe of Utah | Prosthetic/Orthotic Supplier | 3705 N 6100 W, Ivins, UT 84738 | 2009-07-10 |
| 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 |
440 N PAIUTE DR |
| City | CEDAR CITY |
| State | UT |
| Zip Code | 84721-6181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386626018 | Scott Parker | Nurse Practitioner | 440 N Paiute Dr, Cedar City, UT 84720-2681 | 2005-11-17 |
| 1467916973 | Shanda Laree Francisco | Counselor | 440 N Paiute Dr, Cedar City, UT 84721-6181 | 2019-01-29 |
| 1649751496 | Cody Mark Cox | Counselor | 440 N Paiute Dr, Cedar City, UT 84721-6181 | 2018-08-28 |
| 1194239053 | Amy Jean Bleak | Nurse Practitioner | 440 N Paiute Dr, Cedar City, UT 84721-6181 | 2017-11-29 |
| 1578072476 | Ryan James Johnston | Social Worker | 440 N Paiute Dr, Cedar City, UT 84721-6181 | 2017-09-22 |
| 1104288521 | Paiute Indian Tribe of Utah | Case Management | 440 N Paiute Dr, Cedar City, UT 84721-6181 | 2016-03-24 |
| 1033585716 | Chris Bagby | Counselor | 440 N Paiute Dr, Cedar City, UT 84721-6181 | 2015-08-17 |
| 1205215381 | Darrin Judd | Social Worker | 440 N Paiute Dr, Cedar City, UT 84721-6181 | 2015-05-22 |
| 1942693213 | Paiute Indian Tribe of Utah | Community/Behavioral Health | 440 N Paiute Dr, Cedar City, UT 84721-6181 | 2015-03-11 |
| 1619306438 | Wes Nielsen | Physician Assistant | 440 N Paiute Dr, Cedar City, UT 84721-6181 | 2013-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205496189 | Heather Kirchmeier | Registered Nurse | 260 E D.l. Sargent Drive, Cedar City, UT 84721 | 2019-06-13 |
| 1245794080 | Enoch Dental Care, LLC | Clinic/Center | 850 East Midvalley Rd, Enoch, UT 84721 | 2019-01-25 |
| 1619459054 | Eulalia Marie Hall | Nurse Practitioner | 1303 N. Main St, Cedar City, UT 84721 | 2018-09-01 |
| 1922559285 | Renewed Hope Ranch, LLC | Community/Behavioral Health | 425 East 6000 North, Enoch, UT 84721 | 2016-10-20 |
| 1215480629 | Kyle Thomas | Counselor | 1870 N. Main Ste 102, Cedar City, UT 84721 | 2016-08-02 |
| 1093199135 | Fresenius Medical Care Cedar City, LLC | Clinic/Center | 1320 North Main Street, Cedar City, UT 84721 | 2015-07-18 |
| 1851700736 | Jason Arch | Chiropractor | 476 E Midvalley Rd, Cedar City, UT 84721 | 2014-08-05 |
| 1902237183 | Virgil Eric Bonnett | Social Worker | 4921 North Bald Eagle Dr., Enoch, UT 84721 | 2013-12-12 |
| 1891065280 | Merry A. Kelly | Registered Nurse | 260 E Dl Sargent Drive, Cedar City, UT 84721 | 2012-01-03 |
| 1235444787 | Adolescent Life Choices | Residential Treatment Facility, Emotionally Disturbed Children | 467 N. 300 W., Cedar City, UT 84721 | 2010-08-09 |
| Find all providers in zip 84721 | ||||
| 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 |
|---|---|---|---|---|
| 1114441441 | Asd Sleep LLC | Prosthetic/Orthotic Supplier | 1957 W Royal Hunte Dr, #250, Cedar City, UT 84720 | 2017-07-28 |
| 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 |
| 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 |
| 1275762254 | Paiute Indian Tribe of Utah | Prosthetic/Orthotic Supplier | 157 N Paiute Dr Reservation Rd., Kanosh, UT 84637 | 2009-07-10 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR CITY |
| Zip Code | 84721 |
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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.