NPIMap

Organization Active NPI

Paiute Indian Tribe of Utah

  • Case Management Agency
  • Cedar City, UT
National Provider Identifier
1104288521
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PAIUTE INDIAN TRIBE OF UTAH
Practice address
440 N Paiute Dr
Cedar City, UT 84721-6181
Phone
(435) 586-1112
Fax
(435) 867-1516
NPI assigned
Mar 24, 2016
Organization subpart
Yes
Parent organization
PAIUTE INDIAN TRIBE OF UTAHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Authorized official

Name
Tyler Goddard, LCSW
Title
Behavioral Care Director
Phone
(435) 586-1112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

440 N Paiute Dr
Cedar City, UT 84721-6181

Mailing address

440 N Paiute Dr
Cedar City, UT 84721-6181
Phone (435) 586-1112

Other names 1

  • PITU Social Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Paiute Indian Tribe Ut5 organizations share this tax ID, including this one
Part of
Paiute Indian Tribe Ut

Other organizations with this tax ID 4

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14860/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1104288521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N PAIUTE DR",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847216181",
            "telephone_number": "435-586-1112",
            "fax_number": "435-867-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 N PAIUTE DR",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847216181",
            "telephone_number": "435-586-1112",
            "fax_number": "435-867-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIUTE INDIAN TRIBE OF UTAH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAIUTE INDIAN TRIBE OF UTAH",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "GODDARD",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "BEHAVIORAL CARE DIRECTOR",
        "authorized_official_telephone_number": "435-586-1112",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PITU Social Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.