NPIMap

Organization Active NPI

Urban Indian Center of Salt Lake

  • Clinic Pharmacy
  • Salt Lake City, UT
National Provider Identifier
1073478855
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
URBAN INDIAN CENTER OF SALT LAKE
Practice address
5450 S Green St Ste a
Salt Lake City, UT 84123-5632
Phone
(801) 486-4877
NPI assigned
Dec 23, 2025
Last updated
Dec 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William Matthew Poss
Title
Executive Director
Phone
(858) 204-2039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X NU Primary

Addresses

Primary practice location

5450 S Green St Ste a
Salt Lake City, UT 84123-5632

Mailing address

120 W 1300 S
Salt Lake City, UT 84115-5230
Phone (801) 486-4877

Other identifiers 1

IdentifierTypeStateIssuer
17666MedicaidUT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@uicsl.org Direct

National Provider Directory

National Provider Directory
Tax ID family
Urban Indian Center of Salt3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5450 S Green St
#A
Salt Lake City, UT 84123
Phone (801) 214-7686

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1766448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1073478855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 1300 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841155230",
            "telephone_number": "801-486-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 S GREEN ST STE A",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841235632",
            "telephone_number": "801-486-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN INDIAN CENTER OF SALT LAKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-23",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "POSS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "858-204-2039"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17666",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@uicsl.org",
            "affiliation": "N",
            "endpointDescription": "Main Email UICSL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5450 S Green St Ste A",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841235632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.