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 3535 S Market St Ste 200 , West Valley City UT 84119-3685. 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 / Clinic Pharmacy is the primary health care specialty. Confederated Tribes Of The Goshute Reservation can be contacted via phone (801) 359-2256, or through Monroy, Carissa Sorensen via phone (801) 359-2256.

Contact Information

Primary practice address
3535 S Market St Ste 200 West Valley City UT 84119-3685
Phone: (801) 359-2256
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Monroy, Carissa Sorensen Doctor of Medicine (MD)
Phone: (801) 359-2256

Health care specialties

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

Profile Details

NPI number 1952158982
LBN Legal business name Confederated Tribes Of The Goshute Reservation
DBA Doing business as
Authorized official Monroy, Carissa Sorensen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 6th, 2024
Last updated May 6th, 2024 - about last year

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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