CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION; NPI #1750510277

Contact Information

CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION

195 TRIBAL CENTER RD
IBAPAH, UT 84034

Phone: 435-234-1194
Fax: 435-234-1202
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	General Practice	208D00000X	99	Physician/Undefined Physician type[6]

Indicates primary specialty

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NPI Profile & details for CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION

NPI #	`1750510277`
LBN Legal business name	CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION
Authorized official	CRYSTAL CONTRERAS - (BILLING)
Entity	Organization
Organization subpart ¹	No
Enumeration date	07/06/2009
Last updated	02/05/2020 - About 6 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION

Contact Information

Specialty

General Practice

NPI Profile & details for CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION

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