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: October 25, 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
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

Other Names 1

Other NameXaa-wan'-k'wvt Clinic

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Xaa-wan'-k'wvt Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

54

Medicare enrollment records show 54 clinicians reassign Medicare billing to Xaa-Wan'-K'wvt Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 17

Family Practice13
Nurse Practitioner7
Clinical Social Worker6
Dentist5
Marriage and Family Therapist4
Pediatric Medicine4
Optometry3
Internal Medicine2
9 other specialties10

Nearest to this location (20)

See all 54
Mental Health Counselor
NPI 1679914428
501 N INDIAN RD
Smith River, CA 95567
(707) 487-0215
✔ PECOSSame address
Dentist
NPI 1518944578
501 N INDIAN RD
Smith River, CA 95567
(707) 825-4042
✔ PECOSSame address
Internal Medicine
NPI 1073511796
1771 NORTHCREST DR
Crescent City, CA 95531
(707) 465-8666
✔ PECOS✔ Accepts Medicare12 mi
Clinical Social Worker
NPI 1356755581
1675 NORTHCREST DR
Crescent City, CA 95531
(707) 464-2750
✔ PECOS✔ Accepts Medicare13 mi
Family Practice
NPI 1700260015
1675 NORTHCREST DR
Crescent City, CA 95531
(707) 464-2750
✔ PECOS13 mi
Nurse Practitioner
NPI 1710381066
550 E WASHINGTON BLVD
Crescent City, CA 95531
(707) 469-6925
✔ PECOS✔ Accepts Medicare13 mi
Family Practice
NPI 1962400051
241 SALMON AVE
Klamath, CA 95548
(707) 482-2181
✔ PECOS✔ Accepts Medicare31 mi
Nurse Practitioner
NPI 1982018966
1600 WEEOT WAY
Arcata, CA 95521
(707) 825-5010
✔ PECOS✔ Accepts Medicare66 mi
Marriage and Family Therapist
NPI 1578989943
1356 WRANGLER COURT
Mckinleyville, CA 95519
(707) 845-3542
✔ PECOS71 mi
Family Practice
NPI 1942352075
4677 VALLEY EAST BLVD STE 1
Arcata, CA 95521
(707) 822-1122
✔ PECOS✔ Accepts Medicare73 mi
Psychologist
NPI 1528391380
1600 WEEOT WAY
Arcata, CA 95521
(707) 825-5000
✔ PECOS✔ Accepts Medicare73 mi
Dentist
NPI 1336919430
1600 WEEOT WAY
Arcata, CA 95521
(707) 825-5000
✔ PECOS73 mi
Podiatry
NPI 1467574616
3798 JANES RD STE 9
Arcata, CA 95521
(707) 599-8677
✔ PECOS✔ Accepts Medicare73 mi
Clinical Social Worker
NPI 1548731094
1600 WEEOT WAY
Arcata, CA 95521
(707) 825-5000
✔ PECOS74 mi
Osteopathic Manipulative Medicine
NPI 1912269408
1600 WEEOT WAY
Arcata, CA 95521
(707) 825-5000
✔ PECOS✔ Accepts Medicare74 mi
Pediatric Medicine
NPI 1689053738
1600 WEEOT WAY
Arcata, CA 95521
(707) 825-5010
✔ PECOS74 mi
General Surgery
NPI 1336554302
1600 WEEOT WAY
Arcata, CA 95521
(707) 825-5000
✔ PECOS74 mi
Optometry
NPI 1063542454
1600 WEEOT WAY
Arcata, CA 95521
(707) 825-5000
✔ PECOS74 mi
Physical Therapist in Private Practice
NPI 1740165018
2121 MYRTLE AVE
Eureka, CA 95501
(707) 296-2537
81 mi
Certified Nurse Midwife (CNM)
NPI 1104229483
2350 BUHNE ST STE A
Eureka, CA 95501
(707) 630-5281
✔ PECOS✔ Accepts Medicare81 mi
See all 54 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

Is United Indian Health Services, Inc. enrolled in Medicare?

Yes. United Indian Health Services, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through United Indian Health Services, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 54 clinicians in 17 Medicare specialties reassign their Medicare billing to United Indian Health Services, Inc.. 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 (13), Nurse Practitioner (7) and Clinical Social Worker (6). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.