PAIUTE INDIAN TRIBE OF UTAH (NPI# 1801063441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801063441 |
| 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 84720-2681 |
| Practice Telephone | 4356888198 |
| Mailing Telephone | 4355861112 |
| Mailing Fax Number | 4348671514 |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |
| Authorized Official Name | JUDY CRANFORD (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 4655861112 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Shivwits Medical Clinic | Other Name - Individual/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 |
| 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 |
| 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 |
|---|---|---|---|---|
| 1447655063 | Heather Reynolds | Physician Assistant | 3705 N 6100 W, Ivins, UT 84738 | 2014-10-24 |
| 1558590539 | Paiute Indian Tribe of Utah | Prosthetic/Orthotic Supplier | 3705 N 6100 W, Ivins, UT 84738 | 2009-07-10 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226237 | Utah Wellness Solutions | Clinic/Center | 1664 W Towne Center Dr Ste D, South Jordan, UT 84095-8612 | 2020-08-19 |
| 1376166561 | Nuna Munay | Clinic/Center | 9525 S Tramway Dr, Sandy, UT 84092-3108 | 2020-05-21 |
| 1679193338 | Uintah Basin Medical Center | Clinic/Center | 50 S 200 E, Duchesne, UT 84021 | 2020-04-23 |
| 1225658800 | Provider Services Network, Inc. | Clinic/Center | 765 E 340 S Ste 206, American Fork, UT 84003-3310 | 2020-04-23 |
| 1578100186 | 124 South Fairfield LLC | Clinic/Center | 124 S Fairfield Rd Ste B, Layton, UT 84041-7106 | 2019-12-02 |
| 1710468384 | Skull Valley Health Clinic | Clinic/Center | 1929 Aaron Dr Ste I, Tooele, UT 84074-8112 | 2018-08-22 |
| 1275021784 | Axis Chiropractic and Massage Clinic, LLC | Clinic/Center | 1681 W 3860 S Ste 106, West Valley City, UT 84119-6274 | 2018-04-30 |
| 1760979397 | Moenkopi Counseling PC | Clinic/Center | 230 N 1680 E Ste H2, Saint George, UT 84790-2585 | 2018-04-19 |
| 1669978896 | Southern Utah Vision Care Pllc | Clinic/Center | 1251 Northfield Rd Ste 215, Cedar City, UT 84721-8623 | 2018-04-05 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 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.