UNITED INDIAN HEALTH SERVICES INC. NPI 1043216021

NPI Information

  • NPI: 1043216021
  • Provider Name: UNITED INDIAN HEALTH SERVICES, INC.
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Other Name: TAA-'AT-DVN
  • CLIA Number: 05D0613067
  • Address: 1675 NORTHCREST DR
    CRESCENT CITY, CA
    ZIP 95531
  • Phone: (707) 464-2750

Map and Directions

Get Directions

NPI Details

UNITED INDIAN HEALTH SERVICES, INC. is a primary care clinic center in Crescent City, CA. UNITED INDIAN HEALTH SERVICES, INC. NPI is 1043216021. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Taa-'at-dvn.

The provider's business location address is:

1675 NORTHCREST DR
CRESCENT CITY, CA
ZIP 95531-928
Phone: (707) 464-2750
Fax: (707) 464-2668

The provider's authorized official is Cecil Paul Wilson .
The authorized official title is Cfo and has the following contact phone number (707) 825-4065.

The CLIA number assigned to this NPI record is 05D0613067 - community clinic with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/23/2005 and was last updated on 11/16/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristNo
2251S00000XCommunity/Behavioral HealthNo
3261QC1500XClinic/CenterCommunity HealthEXEMPTCALIFORNIANo
4261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI