Confederated Tribes Of The Goshute Reservation
Clinic/Center in Salt Lake City, UT. Organization (NPI-2).
NPI number1992141964
StatusActive
Last updated in NPPESDec 11, 2025
Details
- NPI
- 1992141964
- Entity type
- Organization (NPI-2)
- Legal business name
- Confederated Tribes Of The Goshute Reservation
- Organization subpart
- Yes
- Enumeration date
- May 17, 2013
- Certification date
- Dec 11, 2025
- Last updated
- Dec 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Other names
- Sacred Circle Healthcare (Doing Business As)
Practice location
660 S 200 ESuite 250
Salt Lake City, UT 84111-3835
Phone 801-359-2256
Mailing address
660 S 200 ESuite 250
Salt Lake City, UT 84111-3835
Phone 801-359-2256
Authorized official
Linda Thatcher
Billing
8013592256
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