NPIMap

Organization Active NPI

Dhew Ind HLTH SV HLTH SVS&Mntal HLTH Adm

  • Federal Public Health Clinic/Center
  • Fort Duchesne, UT
National Provider Identifier
1508887993
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federal Public Health Clinic/CenterTaxonomy code 261QP0904X
Legal business name
DHEW IND HLTH SV HLTH SVS&MNTAL HLTH ADM
Practice address
6932 East 1400 South
Fort Duchesne, UT 84026
Phone
(435) 722-5122
Fax
(435) 722-9137
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Authorized official

Name
Mr. Maurice James, CEO
Title
Chief Executive Officer
Phone
(435) 725-6888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federal Public Health Clinic/Center 261QP0904X Primary

Addresses

Primary practice location

6932 East 1400 South
Fort Duchesne, UT 84026

Mailing address

6932 East 11400 South
Fort Duchesne, UT 84026
Phone (435) 722-5122

Other identifiers 2

IdentifierTypeStateIssuer
700000000009MedicaidUT
AZ0522260OtherAZBLUE CROSS

Other names 2

  • Fort Duchesne PHS Indian Health Center Doing business as
  • Uintah & Ouray Service Unit Doing business as

National Provider Directory

National Provider Directory
Tax ID family
DHHS IHS Phoenix Area6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1508887993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6932 EAST 11400 SOUTH",
            "city": "FORT DUCHESNE",
            "state": "UT",
            "postal_code": "84026",
            "telephone_number": "435-722-5122",
            "fax_number": "435-722-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6932 EAST 1400 SOUTH",
            "city": "FORT DUCHESNE",
            "state": "UT",
            "postal_code": "84026",
            "telephone_number": "435-722-5122",
            "fax_number": "435-722-9137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHEW IND HLTH SV HLTH SVS&MNTAL HLTH ADM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "435-725-6888",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "261QP0904X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, Federal",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "700000000009",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "AZ0522260",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fort Duchesne PHS Indian Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fort Duchesne PHS Indian Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Uintah & Ouray Service Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Duchesne, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.