Red Mesa Housing Case Management

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

RED MESA HOUSING CASE MANAGEMENT

Practice address

580 S 500 W
Salt Lake City, UT 84101-2209

Phone

(801) 746-6852

Fax

(801) 746-7687

NPI assigned

Mar 28, 2019

Last updated

Mar 28, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

URBAN INDIAN CENTER OF SALT LAKEAs reported in NPPES

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

Authorized official

Name

Dr. Paul S Flack, DMFT, LMFT

Title

Acting Executive Director

Phone

(801) 214-7681

Specialties & licenses 3

Addresses

Other identifiers 1

Tax ID family

Red Mesa Housing Case Management3 organizations share this tax ID, including this one

Part of

Red Mesa Housing Case Management

Other organizations with this tax ID 2

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

• Urban Indian Center of Salt Lake

  • Clinic Pharmacy
  • Salt Lake City, UT
  • NPI 1073478855
  NPD tax ID
• Urban Indian Center of Salt Lake

  • Federally Qualified Health Center (FQHC)
  • Salt Lake City, UT
  • NPI 1154773158
  NPD tax ID

Practitioners 1

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.

• Kady Newland, CSW

  • Clinical Social Worker
  • Salt Lake City, UT
  • NPI 1467940189
  NPD (past)

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1285195446",
    "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": "801-214-7681",
            "fax_number": "801-214-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 S 500 W",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841012209",
            "telephone_number": "801-746-6852",
            "fax_number": "801-746-7687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED MESA HOUSING CASE MANAGEMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "URBAN INDIAN CENTER OF SALT LAKE",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-03-28",
        "status": "A",
        "authorized_official_last_name": "FLACK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ACTING EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-214-7681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMFT, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11544773158",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Marie Rector, DO
• John Marcus Rector, PH.D
• Thomas Victor Rector
• Red Butte Chiropractic Clinic
• Red Lake Diagnostics
• Red Rock Counseling & Education
• Red Rock Medical Supply
• Red Willow Counseling and Recovery
• Red Willow Iop, PLLC (Red Willow Counseling and Recovery)
• Jonathan Redd, PHARMD

• Case Management Agency in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Case Management Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.