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XAA-WAN'-K'WVT CLINIC
NPI 1821440371
Clinic/Center - Community Health in Smith River, CA

Active since July 08, 2016CLIA 05D2168334 · Microscopy
501 N INDIAN RD, SMITH RIVER, CA 95567(707) 487-0215(707) 487-3003 Get Directions Write a Review

NPPES record last updated: July 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2022, Jul 8, 2022, Oct 18, 2019 (3 updates tracked since 2019).

About Xaa-wan'-k'wvt Clinic NPPES

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

XAA-WAN'-K'WVT CLINIC (NPI 1821440371) is a healthcare organization registered as a community health in Smith River, California and active in the NPI registry since July 2016. 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

NPI1821440371
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameUNITED INDIAN HEALTH SERVICES, INC.
Location Address501 N INDIAN RDSmith River, CA 95567-9509
Mailing Address1600 Weeot WayArcata, CA 95521-4734 · (707) 825-5000 · Fax (707) 825-6747
Phone(707) 487-0215
Fax(707) 487-3003
Organization SubpartNo
Authorized OfficialCecil Paul WilsonCfo · (707) 825-4065
Enumeration DateJuly 8, 2016
Last NPPES UpdateJuly 14, 20223 updates tracked since enumeration
NPPES CertifiedJuly 14, 2022
✔ NPI 1821440371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
License✔ Licensed in CA · EXEMPT
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
501 N INDIAN RD, Smith River, CA 95567
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Other Names 1

Other NameXaa-wan'-k'wvt Clinic

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) 05D2168334

United Indian Health Services · Smith River, CA
Active · expires Jun 25, 2027
CLIA Number05D2168334
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 Services501 N Indian Road, Smith River, CA 95567
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 7

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

VINCENT TRAN DDS
Dentist (General Practice)
501 N INDIAN RD
SMITH RIVER, CA 95567
Del Norte County (707) 825-4042
DR. KIRK JOHN PETERSEN D.M.D.
Dentist
501 N INDIAN RD
SMITH RIVER, CA 95567
Del Norte County (707) 487-0215
DR. JOHN D. WASSENMILLER D.D.S.
Dentist
501 N INDIAN RD
SMITH RIVER, CA 95567
Del Norte County (707) 487-0215
DR. WILMER HECHANOVA DDS
Dentist (General Practice)
501 N INDIAN RD
SMITH RIVER, CA 95567
Del Norte County (707) 825-4042
CHAD GAGNON PA-C
Physician Assistant (Medical)
501 N INDIAN RD
SMITH RIVER, CA 95567
Del Norte County (707) 487-0215
CAROLYN L ARELLANES PA
Physician Assistant
501 N INDIAN RD
SMITH RIVER, CA 95567
Del Norte County (707) 487-0215
MS. LANA ANN DREYFUSS LPCC LCADC LPC HTR
Psychologist (Counseling)
501 N INDIAN RD
SMITH RIVER, CA 95567
Del Norte County (707) 487-0215

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 1821440371. It was assigned to this organization in the NPPES registry on July 8, 2016. The provider is also known as Xaa-Wan'-K'wvt Clinic.

Where is United Indian Health Services, Inc. located?

United Indian Health Services, Inc. is located at 501 N Indian Rd, Smith River, CA 95567. The listed phone number is (707) 487-0215.

What is United Indian Health Services, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Does United Indian Health Services, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D2168334) 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 July 14, 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.