Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Marvon Shane Holdaway, CM

Substance Use Disorder Rehabilitation Clinic/Center in Mount Pleasant, UT · enumerated 2022.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053045898

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Registry record

Entity type Individual (Type 1)

Name Marvon Shane Holdaway

Credential CM

Sex Male

Practice address Mount Pleasant, UT, 84647

Phone (435) 462-2781

Fax (435) 462-0155

Enumeration date Jul 15, 2022

Last updated in NPPES Jul 18, 2022

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities Primary

Other identifiers

Identifier	Type	State	Issuer
HT007021-001	Medicaid	UT	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Marvon Holdaway's NPI record?

Cross-check NPI 1053045898 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1053045898 active?

Yes, as of the latest NPPES snapshot, NPI 1053045898 is active (record last updated 2022-07-18).

Other providers at this practice address

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Matr, Inc. Substance Abuse Rehabilitation Facility · Mount Pleasant, UT NPI 1700177409 Wendy Lamb Substance Use Disorder Rehabilitation Clinic/Center · Mount Pleasant, UT NPI 1447984208 Richard Heilbut Substance Use Disorder Rehabilitation Clinic/Center · Mount Pleasant, UT NPI 1033843875 Deaun Holdaway Substance Use Disorder Rehabilitation Clinic/Center · Mount Pleasant, UT NPI 1184358921 Kresta Kemp Substance Use Disorder Rehabilitation Clinic/Center · Mt Pleasant, UT NPI 1750015509 Dakota Ellett Substance Use Disorder Rehabilitation Clinic/Center · Mount Pleasant, UT NPI 1851026462 Clinton White Substance Use Disorder Rehabilitation Clinic/Center · Mount Pleasant, UT NPI 1023743648 Cindy Hansen Substance Use Disorder Rehabilitation Clinic/Center · Mount Pleasant, UT NPI 1154056646

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-18.