Men S Tribal House Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MEN S TRIBAL HOUSE INC

Practice address

600 S State St Ste 2
Clearfield, UT 84015-1210

Phone

(385) 240-1232

Fax

(801) 515-5088

NPI assigned

Feb 2, 2026

Organization subpart

No

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

Authorized official

Name

Shane Corey Ericksen

Title

Owner

Phone

(385) 240-1232

Specialties & licenses 1

Addresses

Other names 1

• NextGen Medical Doing business as

Locations

Practitioners 2

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

• Corey L Ericksen, DO

  • Family Medicine Physician
  • Clearfield, UT
  • NPI 1912003922
  NPD
• Erin Davies Clawson, NP

  • Family Nurse Practitioner
  • Clearfield, UT
  • NPI 1932083557
  NPD (past)

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

{
    "created_epoch": "1769990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1295685907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S STATE ST STE 2",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840151210",
            "telephone_number": "385-240-1232",
            "fax_number": "801-780-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S STATE ST STE 2",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840151210",
            "telephone_number": "385-240-1232",
            "fax_number": "801-515-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEN S TRIBAL HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-02",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "ERICKSEN",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "COREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "385-240-1232"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NextGen Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Sean McColley, AMFT
• Kael C McPeek, RN
• Mario Jesse McSwain
• Preston Melle
• Jessica Melton
• Matthew Ryan Merback, LPC
• Carol Elizabeth Meyer, L.AC.
• Frans Meyer
• Carolyn Michel
• Midtown Community Health Center Inc

• Family Medicine Physician in Clearfield, UT
• Providers in Clearfield, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.