Organization Active NPI

United Indian Health Services Inc

Doing business as UIHS Provider Group

  • Obstetrics Physician
  • Arcata, CA
National Provider Identifier
1396493391
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
Legal business name
UNITED INDIAN HEALTH SERVICES INC
Doing business as
UIHS Provider Group
Practice address
3800 Janes Rd
Arcata, CA 95521-4742
Phone
(707) 822-3621
NPI assigned
Mar 17, 2022
Last updated
Dec 22, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
UNITED INDIAN HEALTH SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Authorized official

Name
Cecil Paul Wilson
Title
Chief Financial Officer
Phone
(707) 825-5000

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X NU Primary
Pediatrics Physician 208000000X NU
Surgery Physician 208600000X NU
Podiatrist 213E00000X NU

Addresses

Primary practice location

3800 Janes Rd
Arcata, CA 95521-4742

Mailing address

1600 Weeot Way
Arcata, CA 95521-4734
Phone (707) 825-5000

Other practice location 1

800 E Washington Blvd
Crescent City, CA 95531-8359
Phone (707) 464-8511

Other practice location 2

2700 Dolbeer St
Eureka, CA 95501-4736
Phone (707) 445-8121

Other names 1

  • UIHS Provider Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
United Indian HLTH SVC13 organizations share this tax ID, including this one
Part of
United Indian HLTH SVC

Other organizations with this tax ID 12

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

NPI Registry JSON

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671667200000",
    "number": "1396493391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 WEEOT WAY",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214734",
            "telephone_number": "707-825-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 JANES RD",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214742",
            "telephone_number": "707-822-3621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 E Washington Blvd",
            "address_purpose": "LOCATION",
            "city": "Crescent City",
            "state": "CA",
            "postal_code": "955318359",
            "country_code": "US",
            "telephone_number": "707-464-8511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 Dolbeer St",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955014736",
            "country_code": "US",
            "telephone_number": "707-445-8121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNITED INDIAN HEALTH SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITED INDIAN HEALTH SERVICES INC",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-09",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CECIL",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "707-825-5000"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UIHS Provider Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UIHS Provider Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arcata, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.