OrganizationActive
Confederated Tribes of the Goshute Reservation
NPI 1790370955 · Clinic Pharmacy · West Valley, UT
Provider details
- NPI number
- 1790370955
- Entity type
- Organization
- Primary specialty
- Clinic PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Crystal Contreras, Billing Manager(801) 359-2256
Specialties & taxonomies
Suppliers
Practice location
3448 S 3200 W
West Valley, UT 84119-2628
Phone: (801) 359-2256
Approximate (ZIP-level) locationGet directions
Mailing address
660 S 200 E Ste 250
Salt Lake City, UT 84111-3846
Other names (DBA / former)
- Doing business as
- Sacred Circle Healthcare
Registry dates
- Enumerated
- 2021-03-09
- Last updated
- 2021-03-09
- Certified
- 2021-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.