KAZAN IVAN W. MEMORIAL CLINIC
NPI 1619179751
Clinic/Center - Rural Health in Escalante, UT
About Kazan Ivan W. Memorial Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAZAN IVAN W. MEMORIAL CLINIC (NPI 1619179751) is a healthcare organization registered as a rural health in Escalante, Utah and active in the NPI registry since June 2007. The organization lists Alberto Vasquez, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kazan Ivan W. Memorial Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Kazan Ivan W. Memorial Clinic, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 7
Clinicians, nearest first (17)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Garfield County's NPI number?
The NPI number for Garfield County is 1619179751. It was assigned to this organization in the NPPES registry on June 1, 2007. The provider is doing business as Kazan Ivan W. Memorial Clinic.
Where is Garfield County located?
Garfield County is located at 65 N Center, Escalante, UT 84726. The listed phone number is (435) 826-4374.
What is Garfield County's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Garfield County enrolled in Medicare?
Yes. Garfield County is registered in the Medicare PECOS enrollment system.
When is Garfield County's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Utah, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Garfield County?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 7 Medicare specialties reassign their Medicare billing to Garfield County. 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 (5), Cardiovascular Disease (Cardiology) (3) and Certified Registered Nurse Anesthetist (CRNA) (3). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Garfield County was last updated on February 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Kazan Ivan W. Memorial Clinic · NPI 1619179751
Rural Health organization in Escalante, Utah. Organization record, active in the CMS NPPES registry since June 1, 2007.
## Identity
- **NPI:** 1619179751 (Entity type: Organization)
- **Enumerated:** June 1, 2007
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Garfield County
- **Organization subpart:** No
- **Authorized official:** Alberto Vasquez, ADMINISTRATOR
## Practice location
- **Address:** 65 N CENTER, Escalante, UT 84726-0276
- **Phone:** (435) 826-4374
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Utah, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 17 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (5), Cardiovascular Disease (Cardiology) (3), Certified Registered Nurse Anesthetist (CRNA) (3) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 25, 2016
- **Other identifiers:** Medicare ID-Type Unspecified 463982 (UT); Medicaid =========070 (UT)
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Source: [NPI Profile](https://npiprofile.com/npi/1619179751) · Data from the CMS NPPES public registry.