Organization · Type 2 NPI
Confederated Tribes of the Goshute Reservation
Clinic/Center · Ibapah, UT
NPI number
1396199972
Active
Practice location
HC 61 Box 6104
Ibapah, UT 84034-6003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center | 261Q00000X | None listed |
| Clinic/Center Primary | 261Q00000X | 9453799-8906 (UT) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
About NPI 1396199972
Confederated Tribes of the Goshute Reservation's National Provider Identifier is 1396199972, issued on Apr 20, 2016. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Ibapah, UT. The record was last updated on Dec 11, 2025.