Organization
CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA THATCHER (BILLING)
(801) 359-2256
Entity
Organization
Contact information
Practice address
660 S 200 E, SUITE 250, SALT LAKE CITY, UT 84111-3835
(801) 359-2256
(801) 364-7392
Mailing address
HC 61 BOX 6104, IBAPAH, UT 84034-6003
(435) 234-1138
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
9453799-8906
UT
Other
Enumeration date
04/05/2016
Last updated
12/11/2025
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