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 3448 S 3200 W , West Valley UT 84119-2628. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as 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
3448 S 3200 W West Valley UT 84119-2628
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 / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1790370955
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 Mar 9th, 2021
Last updated Mar 9th, 2021 - about 5 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 1790370955 NPPES
Utah Other 119950086-1704 STATE LICENSE

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