# NORTHWESTERN BAND OF THE SHOSHONE NATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659500809
- **Authorized official:** ROBIN M TROXELL (TRIBAL HEALTH ADMINISTRATOR)
- **Authorized official phone:** (435) 734-2286

## Contact information

- **Practice address:** 707 N MAIN ST, BRIGHAM CITY, UT 84302-1449
- **Practice address phone:** (435) 734-2286
- **Practice address fax:** (435) 734-0424
- **Mailing address:** 707 N MAIN ST, BRIGHAM CITY, UT 84302-1449
- **Mailing address phone:** (435) 734-2286
- **Mailing address fax:** (435) 734-0424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/09/2009
- **Last updated:** 07/09/2009