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, SALT LAKE CITY, UT 84111-3835
(801) 359-2256
(801) 364-4392
Mailing address
HC 61 BOX 6104, IBAPAH, UT 84034-6003
(435) 234-1138
(435) 234-1162
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
8547079-1704
UT
Other
Enumeration date
02/17/2016
Last updated
12/11/2025
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