| Paiute Indian Tribe Of Utah | |
|
376 N Paiute Dr Cedar City UT 84721 | |
| (435) 867-1520 | |
| (435) 238-4987 |
| Full Name | Paiute Indian Tribe Of Utah |
|---|---|
| Speciality | Clinic/Center |
| Location | 376 N Paiute Dr, Cedar City, Utah |
| Authorized Official Name and Position | Tara Porath (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 4358671520 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paiute Indian Tribe Of Utah 440 N Paiute Dr Cedar City UT 84720-2681 Ph: (435) 586-1112 | Paiute Indian Tribe Of Utah 376 N Paiute Dr Cedar City UT 84721 Ph: (435) 867-1520 |
| NPI Number | 1700062296 |
|---|---|
| Provider Enumeration Date | 01/14/2008 |
| Last Update Date | 12/18/2023 |
| Medicare PECOS PAC ID | 3072414952 |
|---|---|
| Medicare Enrollment ID | O20040127000849 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700062296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Steven R Newman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134157613 PECOS PAC ID: 9931175346 Enrollment ID: I20090708000574 |
| Provider Name | Jody Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366927584 PECOS PAC ID: 5698108488 Enrollment ID: I20191210000259 |
| Provider Name | Glendon Arly Pedersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942591441 PECOS PAC ID: 6406146034 Enrollment ID: I20231208002835 |
| Provider Name | Brent J Lambeth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003281643 PECOS PAC ID: 4385093590 Enrollment ID: I20231213003280 |
| Provider Name | Michelle Morriss |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932487386 PECOS PAC ID: 1254782451 Enrollment ID: I20240112000393 |
| Provider Name | Cody Lamb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043612476 PECOS PAC ID: 8022545821 Enrollment ID: I20241218000396 |
| Provider Name | Tyler Goddard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821161738 PECOS PAC ID: 7214074558 Enrollment ID: I20241223000345 |
| Provider Name | Michael Bulloch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700149804 PECOS PAC ID: 7315161650 Enrollment ID: I20241226000503 |
| Provider Name | Shanda Laree Francisco |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467916973 PECOS PAC ID: 4486182458 Enrollment ID: I20250106000451 |
| Provider Name | Kylee Dalton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104508357 PECOS PAC ID: 6103268180 Enrollment ID: I20250109001637 |
| Provider Name | Maureen S Ramer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295403913 PECOS PAC ID: 5395274310 Enrollment ID: I20250121001596 |
| Provider Name | Justin Brett Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356925978 PECOS PAC ID: 4587059217 Enrollment ID: I20250124001813 |
| Provider Name | Kirk Bjella |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912394735 PECOS PAC ID: 7012298292 Enrollment ID: I20250129000274 |
North Family Practice, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 55 E Canyon Commercial Ave, Cedar City, UT 84720 Phone: 435-867-8050 Fax: 435-867-8083 | |
Sheldon Chiropractic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 96 N Main St, Ste 103, Cedar City, UT 84720 Phone: 435-867-8986 Fax: 435-867-6233 | |
Southwest Utah Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 245 East 680 South, Family Healthcare Center East Clinic, Cedar City, UT 84720 Phone: 435-865-1387 Fax: 435-865-6357 | |
Steven C Taggart Od Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1330 S Providence Center Dr, Cedar City, UT 84720 Phone: 435-865-2809 | |
Cedar City Chiropractic And Rehabilitation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1180 Sage Dr Ste E, Cedar City, UT 84720 Phone: 435-867-6354 | |
Advanced Family Health Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1760 N Main St, Suite 103, Cedar City, UT 84721 Phone: 435-867-0644 | |
Ihc Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 W 1325 N, Cedar City, UT 84721 Phone: 435-868-6180 |