OrganizationActive
Confederated Tribes of the Goshute Reservation
NPI 1194189233 · Mental Health Clinic/Center (Including Community Mental Health Center) · Salt Lake City, UT
Provider details
- NPI number
- 1194189233
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Linda Thatcher, Billing(801) 359-2256
- License
- 9453799-8906 (UT)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense 9453799-8906 (UT)
Ambulatory Health Care Facilities
Practice location
660 S 200 E
Suite 250
Salt Lake City, UT 84111-3835
Phone: (801) 359-2256
Fax: (801) 364-7392
Approximate (ZIP-level) locationGet directions
Mailing address
Hc 61 Box 6104
Ibapah, UT 84034-6003
Registry dates
- Enumerated
- 2016-04-05
- Last updated
- 2025-12-11
- Certified
- 2025-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.