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MARVON SHANE HOLDAWAY CM
NPI 1053045898
Clinic/Center - Rehabilitation, Substance Use Disorder in Mount Pleasant, UT

Active since July 15, 2022
265 N STATE ST, MOUNT PLEASANT, UT 84647(435) 462-2781(435) 462-0155 Get Directions Write a Review

NPPES record last updated: July 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 18, 2022, Jul 15, 2022 (2 updates tracked since 2022).

About Marvon Shane Holdaway Cm NPPES

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

MARVON SHANE HOLDAWAY CM (NPI 1053045898) is an individual rehabilitation, substance use disorder provider in Mount Pleasant, Utah and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1053045898
Entity TypeIndividualMale
Primary Taxonomy261QR0405X
Provider Legal NameMARVON SHANE HOLDAWAYCredential: CM
Location Address265 N STATE STMount Pleasant, UT 84647-1108
Mailing AddressPo Box 31Mt Pleasant, UT 84647-0031 · (435) 462-2781 · Fax (435) 462-0155
Phone(435) 462-2781
Fax(435) 462-0155
Sole ProprietorYes
Enumeration DateJuly 15, 2022
Last NPPES UpdateJuly 18, 20222 updates tracked since enumeration
NPPES CertifiedJuly 18, 2022
✔ NPI 1053045898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
265 N STATE ST, Mount Pleasant, UT 84647
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Other Identifiers 1

MedicaidHT007021-001UT

Other Providers at the Same Location NPPES 19

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

CLINTON SAMUEL WHITE
Clinic/Center (Rehabilitation, Substance Use Disorder)
265 N STATE ST
MOUNT PLEASANT, UT 84647
Sanpete County (435) 462-2781
TYLER DAVIS
Case Manager/Care Coordinator
265 N STATE ST
MOUNT PLEASANT, UT 84647
Sanpete County (435) 462-2781
MR. RICHARD PRATT HEILBUT CPSS
Clinic/Center (Rehabilitation, Substance Use Disorder)
265 N STATE ST
MOUNT PLEASANT, UT 84647
Sanpete County (435) 462-2781
CINDY KAY HANSEN
Clinic/Center (Rehabilitation, Substance Use Disorder)
265 N STATE ST
MOUNT PLEASANT, UT 84647
Sanpete County (435) 462-2781
DEAUN LARSON HOLDAWAY UNLICENSED PROVIDER
Clinic/Center (Rehabilitation, Substance Use Disorder)
265 N STATE ST
MOUNT PLEASANT, UT 84647
Sanpete County (435) 462-2781
CEDAR RIDGE RECOVERY
Substance Abuse Rehabilitation Facility
265 N STATE ST
MT PLEASANT, UT 84647
Sanpete County (435) 469-0342
ARIEL VANAUSDAL
Case Manager/Care Coordinator
265 N STATE ST
MOUNT PLEASANT, UT 84647
Sanpete County (435) 462-2781
MONICA NILES
Peer Specialist
265 N STATE ST
MOUNT PLEASANT, UT 84647
Sanpete County (435) 462-2781

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 Marvon Holdaway's NPI number?

The NPI number for Marvon Holdaway is 1053045898. It was assigned to this individual provider in the NPPES registry on July 15, 2022.

Where is Marvon Holdaway located?

Marvon Holdaway practices at 265 N State St, Mount Pleasant, UT 84647. The listed phone number is (435) 462-2781.

What is Marvon Holdaway's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Marvon Holdaway was last updated on July 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.