# UNITED INDIAN HEALTH SERVICES, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Xaa-wan'-K'wvt Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821440371
- **Authorized official:** CECIL PAUL WILSON (CFO)
- **Authorized official phone:** (707) 825-4065

## Contact information

- **Practice address:** 501 N INDIAN RD, SMITH RIVER, CA 95567-9509
- **Practice address phone:** (707) 487-0215
- **Practice address fax:** (707) 487-3003
- **Mailing address:** 1600 WEEOT WAY, ARCATA, CA 95521-4734
- **Mailing address phone:** (707) 825-5000
- **Mailing address fax:** (707) 825-6747

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QC1500X | Community Health Clinic/Center | EXEMPT | CA | Yes |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/08/2016
- **Last updated:** 07/14/2022