TAA-'AT-DVN
NPI 1043216021
Clinic/Center - Primary Care in Crescent City, CA
About Taa-'at-dvn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAA-'AT-DVN (NPI 1043216021) is a healthcare organization registered as a primary care in Crescent City, California and active in the NPI registry since June 2005. The organization holds a CLIA Microscopy certificate valid through June 25, 2027 and lists Cecil Paul Wilson, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Taa-'at-dvn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
54Medicare enrollment records show 54 clinicians reassign Medicare billing to Taa-'at-Dvn, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 17
Nearest to this location (20)
See all 54Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D2168328
United Indian Health Services · Crescent City, CAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is United Indian Health Services, Inc.'s NPI number?
The NPI number for United Indian Health Services, Inc. is 1043216021. It was assigned to this organization in the NPPES registry on June 23, 2005. The provider is also known as Taa-'at-Dvn.
Where is United Indian Health Services, Inc. located?
United Indian Health Services, Inc. is located at 1675 Northcrest Dr, Crescent City, CA 95531. The listed phone number is (707) 464-2750.
What is United Indian Health Services, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is United Indian Health Services, Inc. enrolled in Medicare?
Yes. United Indian Health Services, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through United Indian Health Services, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 54 clinicians in 17 Medicare specialties reassign their Medicare billing to United Indian Health Services, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (13), Nurse Practitioner (7) and Clinical Social Worker (6). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does United Indian Health Services, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D2168328) is associated with this NPI, valid through June 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for United Indian Health Services, Inc. was last updated on November 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Taa-'at-Dvn · NPI 1043216021
Primary Care organization in Crescent City, California. Organization record, active in the CMS NPPES registry since June 23, 2005.
## Identity
- **NPI:** 1043216021 (Entity type: Organization)
- **Enumerated:** June 23, 2005
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** United Indian Health Services, Inc.
- **Organization subpart:** No
- **Authorized official:** Cecil Wilson, CFO
## Practice location
- **Address:** 1675 NORTHCREST DR, Crescent City, CA 95531-8928
- **Phone:** (707) 464-2750 · **Fax:** (707) 464-2668
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 54 clinicians in 17 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (13), Nurse Practitioner (7), Clinical Social Worker (6); 2 practice at this address and 4 within 10 miles; [full list](https://npiprofile.com/npi/1043216021/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 16, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1043216021) · Data from the CMS NPPES public registry.