Confederated Tribes Of The Goshute Reservation

LBN: Confederated Tribes Of The Goshute Reservation
Confederated Tribes Of The Goshute Reservation is an health care organization with primary practice located at 660 S 200 E Ste 250 , Salt Lake City UT 84111-3846. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, Suppliers / Clinic Pharmacy. Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy is the primary health care specialty. Confederated Tribes Of The Goshute Reservation can be contacted via phone (801) 359-2256, or through Contreras, Crystal via phone (801) 359-2256.

Contact Information

Primary practice address
660 S 200 E Ste 250 Salt Lake City UT 84111-3846
Phone: (801) 359-2256
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Contreras, Crystal
Phone: (801) 359-2256

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X 8547079-1704 Utah
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1003251638
LBN Legal business name Confederated Tribes Of The Goshute Reservation
DBA Doing business as
Authorized official Contreras, Crystal
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2013
Last updated Dec 21st, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003251638 NPPES
Other 2140406 PK

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