SACRED CIRCLE HEALTH CARE
NPI 1003275280
Clinic/Center - Mental Health (Including Community Mental Health Center) in Salt Lake City, UT
NPI Status: Active since February 17, 2016
Contact Information
660 S 200 E STE 250
SALT LAKE CITY, UT
ZIP 84111
Phone: (801) 359-2256
Fax: (801) 364-4392
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
- CLIA Number: 46D2287516
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-14-2025
About SACRED CIRCLE HEALTH CARE
This page provides the complete NPI Profile along with additional information for Sacred Circle Health Care, a provider established in Salt Lake City, Utah operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1003275280 assigned on February 2016. The practitioner's primary taxonomy code is 261QM0801X with license number 9453799-8906 (UT). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Sacred Circle Health Care. The authorized official of this NPI record is Virgil W Johnson (Council Chair)
- NPI
- 1003275280
- Provider Legal Name
- CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION
- Other Organization Name
- SACRED CIRCLE HEALTH CARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 660 S 200 E STE 250 SALT LAKE CITY, UT 84111
- Location Phone
- (801) 359-2256
- Location Fax
- (801) 364-4392
- Mailing Address
- HC 61 BOX 6104 IBAPAH, UT 84034
- Mailing Phone
- (801) 359-2256
- Mailing Fax
- (801) 364-4392
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-17-2016
- Last Update Date
- 02-17-2016
- 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
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
- License No.
- 9453799-8906
- License State
- UT
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|
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
- 46D2287516
- Facility Type
- Physician Office
- Certificate Effective Date
- August 15, 2023
- Certificate Expiration Date
- August 14, 2025
- Laboratory Director
- JOHN DAME
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Sacred Circle Health Care to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 0 | 3 | 2 | 7 | 5 | 2 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 4 | 7 | 10 | 2 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 4 + 7 + 1 + 0 + 2 + 1 + 6 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1003275280 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1396844049 | DAVID J HADLEY DMD Individual | Dentist | 660 S 200 E STE 250 SALT LAKE CITY, UT 84111 (801) 359-2256 |
| 1265892012 | CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION Organization | Clinical Medical Laboratory | 660 S 200 E STE 250 SALT LAKE CITY, UT 84111 (801) 359-2256 |
| 1003251638 | CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION Organization | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 660 S 200 E STE 250 SALT LAKE CITY, UT 84111 (801) 359-2256 |
| 1174969125 | CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION Organization | Clinic/Center (Dental) | 660 S 200 E STE 250 SALT LAKE CITY, UT 84111 (801) 359-2256 |
| 1457722563 | MATTHEW LEWIS Individual | Dietitian, Registered | 660 S 200 E STE 250 SALT LAKE CITY, UT 84111 (801) 227-2000 |
| 1558903617 | NATALIE LINARES RDH,BSDH Individual | Dental Hygienist | 660 S 200 E STE 250 SALT LAKE CITY, UT 84111 (801) 359-2256 |
| 1265929640 | DANIEL RODRIGUEZ DMD Individual | Dentist | 660 S 200 E STE 250 SALT LAKE CITY, UT 84111 (801) 359-2256 |
| 1669071395 | MRS. MEGAN SONJA SULLIVAN FNP-C Individual | Nurse Practitioner (Family) | 660 S 200 E STE 250 SALT LAKE CITY, UT 84111 (801) 359-2256 |
| 1497328090 | YANABAH TACHENE WOOD Individual | Social Worker | 660 S 200 E STE 250 SALT LAKE CITY, UT 84111 (801) 359-2256 |
| 1982372116 | MRS. ELSHA DAWN DRUMMOND DNP, APRN, FNP-C Individual | Nurse Practitioner (Family) | 660 S 200 E STE 250 SALT LAKE CITY, UT 84111 (801) 359-2256 |
| 1639354897 | DR. MELISSA J BENTLEY M.D. Individual | Internal Medicine | 660 S 200 E STE 250 SALT LAKE CITY, UT 84111 (801) 359-2256 |
| 1861049363 | DAVID SWAN LSCW Individual | Social Worker (Clinical) | 660 S 200 E STE 250 SALT LAKE CITY, UT 84111 (801) 359-2256 |
| 1023730413 | CONFEDERATED TRIBES OF THE GOSHUTE INDIAN RESERVATION Organization | Optometrist | 660 S 200 E STE 250 SLC, UT 84111 (801) 359-2256 |
| 1801410451 | KATE LILLIE PA-C Individual | Physician Assistant | 660 S 200 E STE 250 SALT LAKE CITY, UT 84111 (801) 359-2256 |
| 1386253532 | KELLY DORTHEA HOLLIE Individual | Social Worker | 660 S 200 E STE 250 SALT LAKE CITY, UT 84111 (801) 359-2256 |
| 1720765894 | JACQUELINE F REED CSW Individual | Counselor (Mental Health) | 660 S 200 E STE 250 SALT LAKE CITY, UT 84111 (801) 359-2256 |
| 1003474602 | ELIZABETH NEILSON DPT Individual | Physical Therapist | 660 S 200 E STE 250 SALT LAKE CITY, UT 84111 (801) 359-2256 |
| 1487421152 | MARY G. HOFFMANN RN Individual | Registered Nurse (Community Health) | 660 S 200 E STE 250 SALT LAKE CITY, UT 84111 (801) 359-2256 |
| 1912547191 | DEOJUVANTEH TSO LCSW Individual | Social Worker (Clinical) | 660 S 200 E STE 250 SALT LAKE CITY, UT 84111 (801) 364-4392 |
| 1972007060 | HAVEN ANN LEWIS HALK A.P.R.N Individual | Nurse Practitioner (Family) | 660 S 200 E STE 250 SALT LAKE CITY, UT 84111 (801) 359-2256 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003275280, enumerated in the NPI registry as an "organization" on February 17, 2016
The provider is located at 660 S 200 E Ste 250 Salt Lake City, Ut 84111 and the phone number is (801) 359-2256
This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)
The provider's CLIA number is 46D2287516 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on February 17, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.