CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION (NPI# 1467811562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467811562 |
| Entity Type | Organization |
| Organization Name | CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION |
| Practice Address |
660 S 200 E Salt Lake City UT 84111-3835 |
| Mailing Address |
Hc 61 Box 6104 Ibapah UT 84034-6003 |
| Practice Telephone | 8013592256 |
| Practice Fax Number | 8013644392 |
| Mailing Telephone | 4352341138 |
| Mailing Fax Number | 4352341162 |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |
| Authorized Official Name | MR. VIRGIL W JOHNSON (COUNCIL CHAIRMAN) |
| Authorized Official Telephone | 8018984814 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
8547079-1704 | UT | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396199972 | Confederated Tribes of The Goshute Reservation | Clinic/Center | Hc 61 Box 6104, Ibapah, UT 84034-6003 | 2016-04-20 |
| 1750510277 | Confederated Tribes of The Goshute Reservation | General Practice | 195 Tribal Center Rd, Ibapah, UT 84034 | 2009-07-06 |
| 1194189233 | Confederated Tribes of The Goshute Reservation | Clinic/Center | 660 S 200 E, Suite 250, Salt Lake City, UT 84111-3835 | 2016-04-05 |
| 1265892012 | Confederated Tribes of The Goshute Reservation | Clinical Medical Laboratory | 660 S 200 E Ste 250, Salt Lake City, UT 84111-3846 | 2016-03-07 |
| 1003275280 | Confederated Tribes of The Goshute Reservation | Clinic/Center | 660 S 200 E Ste 250, Salt Lake City, UT 84111-3846 | 2016-02-17 |
| 1174969125 | Confederated Tribes of The Goshute Reservation | Clinic/Center | 660 S 200 E Ste 250, Salt Lake City, UT 84111-3846 | 2013-05-17 |
| 1992141964 | Confederated Tribes of The Goshute Reservation | Clinic/Center | 660 S 200 E, Suite 250, Salt Lake City, UT 84111-3835 | 2013-05-17 |
| 1003251638 | Confederated Tribes of The Goshute Reservation | Pharmacy | 660 S 200 E Ste 250, Salt Lake City, UT 84111-3846 | 2013-05-09 |
| Street Address |
660 S 200 E |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84111-3835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124089628 | Tamarah Leigh Barrow | Counselor | 660 S 200 E, Salt Lake City, UT 84111-3853 | 2006-04-01 |
| 1548762990 | Edwin Winkworth IIi | Counselor | 660 S 200 E, Salt Lake City, UT 84111-3835 | 2018-03-01 |
| 1609374404 | Jennifer Bethers | Physical Therapy Assistant | 660 S 200 E, Salt Lake City, UT 84111-3835 | 2018-01-26 |
| 1154836567 | Lee Smitherman | Social Worker | 660 S 200 E, Salt Lake City, UT 84111-3835 | 2017-12-07 |
| 1285155432 | Jordon Palmer | Social Worker | 660 S 200 E, Salt Lake City, UT 84111-3835 | 2017-06-28 |
| 1891248936 | Sacred Circle Healthcare | Clinic/Center | 660 S 200 E, Ste 250, Salt Lake City, UT 84111-3835 | 2016-07-25 |
| 1194189233 | Confederated Tribes of The Goshute Reservation | Clinic/Center | 660 S 200 E, Suite 250, Salt Lake City, UT 84111-3835 | 2016-04-05 |
| 1326420217 | Carmelo O Diaz | Physician Assistant | 660 S 200 E, Ste 250, Salt Lake City, UT 84111-3835 | 2015-06-26 |
| 1245676972 | Danny W Carter | Pharmacist | 660 S 200 E, Suite 250, Salt Lake City, UT 84111-3835 | 2013-05-21 |
| 1992141964 | Confederated Tribes of The Goshute Reservation | Clinic/Center | 660 S 200 E, Suite 250, Salt Lake City, UT 84111-3835 | 2013-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316551336 | Mary Ann Rush | Case Manager/Care Coordinator | 334 E. 100 S., Slc, UT 84111 | 2020-09-08 |
| 1790396554 | Stephanie G Mishenko | Military Health Care Provider | 344e 100s, Slc, UT 84111 | 2020-08-13 |
| 1386264802 | Mckensee M Carter | Case Manager/Care Coordinator | 334 E 100 S, Salt Lake City, UT 84111 | 2020-04-24 |
| 1316421761 | Community Health Centers, Inc. | Social Worker | 610 S 200 E Ste #b, Salt Lake City, UT 84111 | 2018-09-21 |
| 1528545506 | Lauren Brittney Harman | Case Manager/Care Coordinator | 344 E. 100 S., Salt Lake City, UT 84111 | 2018-07-23 |
| 1851896484 | Shivani Chowdhary | Dentist | 370 E South Temple Ste 350, Salt Lake City, UT 84111 | 2018-03-26 |
| 1801390661 | Jaylee Marie Watman | Case Manager/Care Coordinator | 344 E. 100 S. Ste 301, Salt Lake City, UT 84111 | 2018-03-19 |
| 1467963918 | Victoira Julia Graham | Case Management | 344 East 100 South Ste 301, Salt Lake City, UT 84111 | 2017-10-23 |
| 1750805404 | Kayla Hymas | Behavioral Analyst | 243 E. 400 S., Slc, UT 84111 | 2017-08-02 |
| 1134643224 | Julie Peaslee | Counselor | 275 E South Temple Ste 110, Salt Lake City, UT 84111 | 2017-07-31 |
| Find all providers in zip 84111 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801387626 | Planned Parenthood Association of Utah | Pharmacy | 160 S 1000 E Ste 120, Salt Lake City, UT 84102-1471 | 2018-05-29 |
| 1104242114 | Planned Parenthood | Pharmacy | 654 S 900 E, Salt Lake City, UT 84102-3478 | 2014-03-14 |
| 1003251638 | Confederated Tribes of The Goshute Reservation | Pharmacy | 660 S 200 E Ste 250, Salt Lake City, UT 84111-3846 | 2013-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285125120 | Planned Parenthood Association of Utah | Pharmacy | 595 S Bluff St Ste 1, St George, UT 84770-3593 | 2018-05-26 |
| 1861983330 | Planned Parenthood Association of Utah | Pharmacy | 550 N Main St Ste 117, Logan, UT 84321-3984 | 2018-05-21 |
| 1093228645 | Eco Pharmacy LLC | Pharmacy | 3702 S State Street Suite 115, South Salt Lake City, UT 84115 | 2017-11-06 |
| 1487869111 | Utah State University Student Health Center | Pharmacy | 850 E 1200 N, Logan, UT 84322-9100 | 2007-05-14 |
| 1740383884 | Bear Lake Community Health Center | Pharmacy | 325 W Logan Hwy, Garden City, UT 84028 | 2006-09-06 |
| 1487146841 | The Clinic At By Onsite Care | Pharmacy | 4000 N Flash Dr, Lehi, UT 84043-5148 | 2018-06-01 |
| 1902397847 | Planned Parenthood Association of Utah | Pharmacy | 1086 N 1200 W, Orem, UT 84057-2840 | 2018-05-26 |
| 1730670670 | Planned Parenthood Association of Utah | Pharmacy | 4387 Harrison Blvd Ste D8, Ogden, UT 84403-3267 | 2018-05-26 |
| 1558852491 | Planned Parenthood Association of Utah | Pharmacy | 1091 W South Jordan Pkwy, South Jordan, UT 84095-8820 | 2018-05-26 |
| 1881010874 | Planned Parenthood Association of Utah | Pharmacy | 1906 W 3600 S, West Valley City, UT 84119-4715 | 2014-03-14 |
| Find all providers with the same taxonomy | ||||
| City | SALT LAKE CITY |
| Zip Code | 84111 |
Please comment or provide details below to improve the information on CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.