KANOSH MEDICAL CLINIC
NPI 1275762254
Prosthetic/Orthotic Supplier in Kanosh, UT
NPI Status: Active since July 10, 2009
Contact Information
157 N PAIUTE DR RESERVATION RD.
KANOSH, UT
ZIP 84637
Phone: (435) 759-2610
Fax: (435) 867-1514
- Organization
- Prosthetic/Orthotic Supplier
- CLIA Number: 46D0867638
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 05-01-2027
About KANOSH MEDICAL CLINIC
This page provides the complete NPI Profile along with additional information for Kanosh Medical Clinic, a provider established in Kanosh, Utah operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1275762254 assigned on July 2009. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's is doing business as Kanosh Medical Clinic. The authorized official of this NPI record is Mrs. Judy K Cranford R.n. (Health Department Director)
- NPI
- 1275762254
- Provider Legal Name
- PAIUTE INDIAN TRIBE OF UTAH
- Other Organization Name
- KANOSH MEDICAL CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 157 N PAIUTE DR RESERVATION RD. KANOSH, UT 84637
- Location Phone
- (435) 759-2610
- Location Fax
- (435) 867-1514
- Mailing Address
- 440 N PAIUTE DR CEDAR CITY, UT 84721
- Mailing Phone
- (435) 568-1112
- Mailing Fax
- (435) 867-1514
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-10-2009
- Last Update Date
- 04-26-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Prosthetic/Orthotic Supplier
- Taxonomy Code
- 335E00000X
- Type
- Suppliers
- Taxonomy Description
- An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6254530001 | MEDICARE NSC (07) |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 46D0867638
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- May 02, 2025
- Certificate Expiration Date
- May 01, 2027
- Laboratory Director
- STEVEN R. NEWMAN
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Kanosh Medical Clinic after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1275762254, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275762254, enumerated as an "organization" on July 10, 2009.
The provider is located at 157 N PAIUTE DR RESERVATION RD. KANOSH, UT 84637 and the phone number is (435) 759-2610.
Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
