Urban Indian Center of Salt Lake

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

URBAN INDIAN CENTER OF SALT LAKE

Practice address

120 W 1300 S
Salt Lake City, UT 84115-5230

Phone

(801) 486-4877

Fax

(801) 214-7685

NPI assigned

Jul 1, 2016

Organization subpart

No

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

Authorized official

Name

Mr. William M Poss

Title

Cfo

Phone

(801) 486-4877

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT, TX3 enrollments

Enrollment records 3

Federally qualified health center certification: CCN 461866

Legal name

URBAN INDIAN CENTER OF SALT LAKE

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Nov 11, 2020

Last certification

Nov 11, 2020

Ownership / control type

For profit – corporation

Organization structure

OtherNon-profit

Enrollment address

120 W 1300 S
Salt Lake City, UT 84115-5230

Federally qualified health center certification: CCN 461008

Legal name

URBAN INDIAN CENTER OF SALT LAKE

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Oct 16, 2025

Last certification

Oct 16, 2025

Ownership / control type

For profit – corporation

Organization structure

OtherNon-profit

Enrollment address

5450 S Green St
Ste a
Murray, UT 84123-5632

Tax ID family

Red Mesa Housing Case Management3 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.

• Red Mesa Housing Case Management

  • Case Management Agency
  • Salt Lake City, UT
  • NPI 1285195446
  NPD tax ID
• Urban Indian Center of Salt Lake

  • Clinic Pharmacy
  • Salt Lake City, UT
  • NPI 1073478855
  NPD tax ID

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edwin O Awinda, APRN

  • Gerontology Nurse Practitioner
  • Murray, UT
  • NPI 1194216895
  NPD (past)
• Tyrone Brown

  • Health & Wellness Coach
  • Salt Lake City, UT
  • NPI 1245804723
  NPD (past)
• Timothy S Duerler, M.D.

  • Family Medicine Physician
  • Murray, UT
  • NPI 1053433441
  NPD (past)
• Kristie Lyn Hinton, RD, RDN

  • Registered Dietitian
  • Murray, UT
  • NPI 1275171191
  NPD (past)

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1154773158",
    "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",
            "fax_number": "801-214-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W 1300 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841155230",
            "telephone_number": "801-486-4877",
            "fax_number": "801-214-7685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5450 S Green St Ste A",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "841235632",
            "country_code": "US",
            "telephone_number": "801-486-4877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "URBAN INDIAN CENTER OF SALT LAKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-01",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A",
        "authorized_official_last_name": "POSS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "801-486-4877",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uou Pediatric Orthopedics
• Amelia B. Updegraff, MD
• Wanda S Updike, MD
• M. Scott Updyke, DDS
• Urban Indian Center of Salt Lake
• Joseph Francis Urban Jr., MD
• Nora Urbanelli, MSW, LCSW
• Brigitte Urbay
• Kimalee Ann Urbom, CSW
• Jennifer Melinda Urch, FNP

• Federally Qualified Health Center (FQHC) in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Federally Qualified Health Center (FQHC) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.