PAIUTE INDIAN TRIBE OF UTAH — NPI 1275762254 (Licensed & Credentialed Suppliers — Prosthetic

CMS-1500 Box 24J / 33a • NPI

1275762254

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

335E00000X (CMS 51)

Licensed & Credentialed Suppliers — Prosthetic — Orthotic Supplier

Box 32 Service Location & ZIP+4

157 N PAIUTE DR RESERVATION RD., KANOSH, UT, 84637

Official NPPES Practice Location

Practice Phone & Referral Fax

(435) 759-2610

Fax: (435) 867-1514

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1275762254 (PAIUTE INDIAN TRIBE OF UTAH) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1275762254` (NPI-2 Organization / Facility)
Provider / Legal Name	PAIUTE INDIAN TRIBE OF UTAH
Plain-English Specialty	Licensed & Credentialed Suppliers — Prosthetic — Orthotic Supplier NUCC Code: `335E00000X` (Prosthetic/Orthotic Supplier)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	157 N PAIUTE DR RESERVATION RD., KANOSH, UT, 84637
Practice Telephone / Fax	Tel: (435) 759-2610 \| Fax: (435) 867-1514
Administrative Mailing Address	440 N PAIUTE DR, CEDAR CITY, UT, 84721-6181
Enumeration & Last Sync	Enumerated: 2009-07-10 \| CMS Record Updated: 2010-04-26
Authorized Official	JUDY CRANFORD (HEALTH DEPARTMENT DIRECTOR)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

157 N PAIUTE DR RESERVATION RD., KANOSH, UT, 84637

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Plain-English Taxonomy & CMS Crosswalk (335E00000X)

What Does Taxonomy Code 335E00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 335E00000X translates to:
"Licensed & Credentialed Suppliers — Prosthetic — Orthotic Supplier"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 51 (Medical Supply Company with Orthotist) • CMS Code 52 (Medical Supply Company with Prosthetist) • CMS Code 53 (Medical Supply Company with Orthotist-Prosthetist)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Prosthetic/Orthotic Supplier for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (PAIUTE INDIAN TRIBE OF UTAH)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`335E00000X` — Prosthetic/Orthotic Supplier Plain English: Licensed & Credentialed Suppliers — Prosthetic — Orthotic Supplier	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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PAIUTE INDIAN TRIBE OF UTAH (NPI #1275762254)