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WASATCH HOMELESS HEALTH CARE, INC.
NPI 1043865074
Pharmacy - Clinic Pharmacy in Salt Lake, UT

Active since August 06, 2019CLIA Certified · 2 labs
409 WEST 400 SOUTH, SALT LAKE, UT 84101(385) 234-5708(801) 433-0153 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 2, 2025, Aug 19, 2019, Aug 6, 2019 (3 updates tracked since 2019).

About Wasatch Homeless Health Care, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WASATCH HOMELESS HEALTH CARE, INC. (NPI 1043865074), doing business as 4th Street Clinic, is a healthcare organization registered as a clinic pharmacy in Salt Lake, Utah and active in the NPI registry since August 2019. The organization holds 2 active CLIA laboratory certificates and lists Janida Emerson, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1043865074
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameWASATCH HOMELESS HEALTH CARE, INC.
Location Address409 WEST 400 SOUTHSalt Lake, UT 84101
Mailing Address409 West 400 SouthSalt Lake, UT 84101 · (385) 234-5708 · Fax (801) 433-0153
Phone(385) 234-5708
Fax(801) 433-0153
Organization SubpartNo
Authorized OfficialJanida EmersonChief Executive Officer · (801) 364-0058
Enumeration DateAugust 6, 2019
Last NPPES UpdateDecember 2, 20253 updates tracked since enumeration
NPPES CertifiedDecember 2, 2025
✔ NPI 1043865074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Also ListedPharmacyTaxonomy 333600000X
409 WEST 400 SOUTH, Salt Lake, UT 84101
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Other Names 2

Doing Business As4th Street Clinic
Doing Business As4th Street Pharmacy

Other Identifiers 1

Medicaid1528128899UT

CLIA Laboratory Certificates CMS CLIA 2

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) 46D0856838

Wasatch Homeless Health Care Inc · Salt Lake City, UT
Active · expires Jun 13, 2027
CLIA Number46D0856838
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJune 14, 2025
Certificate Expiration DateJune 13, 2027
Laboratory DirectorVan Aston
Laboratory Phone(801) 364-0058
Laboratory LocationWasatch Homeless Health Care Inc409 West 400 South, Salt Lake City, UT 84101
CLIA data matches this NPI record on: Name Phone
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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 46D2305288

Wasatch Homeless Healthcare - Sandy · Sandy, UT
Active · expires May 28, 2028
CLIA Number46D2305288
Laboratory TypeHealth Fair
Certificate Effective DateMay 29, 2026
Certificate Expiration DateMay 28, 2028
Laboratory DirectorVan Aston
Laboratory Phone(801) 364-0058
Laboratory LocationWasatch Homeless Healthcare - Sandy8955 South 255 West, Sandy, UT 84070
CLIA data matches this NPI record on: Phone
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

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

WASATCH HOMELESS HEALTH CARE, INC.
Pharmacy (Clinic Pharmacy)
409 WEST 400 SOUTH
SALT LAKE, UT 84101
Salt Lake County (801) 333-8628

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 Wasatch Homeless Health Care, Inc.'s NPI number?

The NPI number for Wasatch Homeless Health Care, Inc. is 1043865074. It was assigned to this organization in the NPPES registry on August 6, 2019. The provider is doing business as 4th Street Clinic and 4th Street Pharmacy.

Where is Wasatch Homeless Health Care, Inc. located?

Wasatch Homeless Health Care, Inc. is located at 409 West 400 South, Salt Lake, UT 84101. The listed phone number is (385) 234-5708.

What is Wasatch Homeless Health Care, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

Does Wasatch Homeless Health Care, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Wasatch Homeless Health Care, Inc. was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.