Organization
CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION
Active
Organization
CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION
Active
Other names
Sacred Circle Health Care
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 STE 250, SALT LAKE CITY, UT 84111-3846
(801) 359-2256
(801) 364-4392
Mailing address
HC 61 BOX 6104, IBAPAH, UT 84034-6003
(801) 359-2256
(801) 364-4392
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
9453799-8906
UT
Other
Enumeration date
03/07/2016
Last updated
12/11/2025
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