Organization
PAIUTE INDIAN TRIBE OF UTAH
Active
Other names
Shivwits Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER PRISBREY (CFO)
(435) 586-1112
Entity
Organization
Contact information
Practice address
1449 N 1400 W STE 19, ST GEORGE, UT 84770-5237
(354) 688-8199
(435) 688-7572
Mailing address
440 N PAIUTE DR, CEDAR CITY, UT 84720-2681
(435) 586-1112
(434) 867-1514
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/13/2008
Last updated
02/13/2024
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