OrganizationActive
Confederated Tribes of the Goshute Reservation
NPI 1396199972 · Clinic/Center · Ibapah, UT
Provider details
- NPI number
- 1396199972
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Linda Thatcher, Billing(801) 359-2256
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Practice location
Hc 61 Box 6104
Ibapah, UT 84034-6003
Phone: (435) 234-1138
Approximate (ZIP-level) locationGet directions
Mailing address
Hc 61 Box 6104
Ibapah, UT 84034-6003
Registry dates
- Enumerated
- 2016-04-20
- 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.