Organization · Type 2 NPI

Northwestern Band of the Shoshone Nation

Public Health or Welfare Agency · Brigham City, UT

NPI number 1659500809 Active

Practice location

707 N Main St
Brigham City, UT 84302-1449

Fax (435) 734-0424

Specialties and licenses

TaxonomyCodeLicense
Public Health or Welfare Agency Primary 251K00000XNone listed

Public Health or Welfare Agency: Definition to come...

About NPI 1659500809

Northwestern Band of the Shoshone Nation's National Provider Identifier is 1659500809, issued on Jul 9, 2009. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Brigham City, UT. The record was last updated on Jul 9, 2009.