TAA-'AT-DVN
NPI 1043216021
Clinic/Center - Primary Care in Crescent City, CA

Active since June 23, 2005CLIA 05D2168328 · Microscopy
1675 NORTHCREST DR, CRESCENT CITY, CA 95531(707) 464-2750(707) 464-2668 Get Directions Write a Review

NPPES record last updated: November 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 16, 2022, Jul 14, 2022, Jul 8, 2022 and 1 more (4 updates tracked since 2019).

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

NPI1043216021
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameUNITED INDIAN HEALTH SERVICES, INC.
Location Address1675 NORTHCREST DRCrescent City, CA 95531-8928
Mailing Address1600 Weeot WayArcata, CA 95521-4734 · (707) 825-5000 · Fax (707) 825-6747
Fax(707) 464-2668
Organization SubpartNo
Authorized OfficialCecil Paul WilsonCfo · (707) 825-4065
Enumeration DateJune 23, 2005
Last NPPES UpdateNovember 16, 20224 updates tracked since enumeration
NPPES CertifiedNovember 16, 2022
NPI 1043216021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedOptometristTaxonomy 152W00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X · License EXEMPT (CA)
1675 NORTHCREST DR, Crescent City, CA 95531

Other Names 1

Other NameTaa-'at-dvn

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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, CA
Active · expires Jun 25, 2027
CLIA Number05D2168328
Laboratory TypeRural Health Clinic
Certificate Effective DateJune 26, 2025
Certificate Expiration DateJune 25, 2027
Laboratory DirectorChris Myers
Laboratory Phone(707) 825-4175
Laboratory LocationUnited Indian Health Services1675 Northcrest Drive, Crescent City, CA 95531
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1675 NORTHCREST DR
CRESCENT CITY, CA 95531
Nurse Practitioner (Family)
1675 NORTHCREST DR
CRESCENT CITY, CA 95531
Family Medicine
1675 NORTHCREST DR
CRESCENT CITY, CA 95531
Physician Assistant (Medical)
1675 NORTHCREST DR
CRESCENT CITY, CA 95531
Social Worker (Clinical)
1675 NORTHCREST DR
CRESCENT CITY, CA 95531
Counselor (Mental Health)
1675 NORTHCREST DR
CRESCENT CITY, CA 95531
Emergency Medicine
1675 NORTHCREST DR
CRESCENT CITY, CA 95531
Family Medicine
1675 NORTHCREST DR
CRESCENT CITY, CA 95531

Frequently 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.

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.