Organization
NORTHWESTERN BAND OF THE SHOSHONE
Active
Other names
Northwestern Band of the Shoshone Nation Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
HUNTER TIMBIMBOO (DIRECTOR OF HEALTH & HUMAN SERVICES)
(435) 237-8066
Entity
Organization
Contact information
Practice address
984 S 500 W STE 3, BRIGHAM CITY, UT 84302-4712
(435) 239-8524
Mailing address
707 N MAIN ST, BRIGHAM CITY, UT 84302-1449
(435) 734-2286
(435) 734-0424
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/14/2019
Last updated
03/22/2021
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