Organization · Type 2 NPI

Northwestern Band of the Shoshone

General Practice Physician · Brigham City, UT

NPI number 1841856986 Active

Practice location

984 S 500 W Ste 3
Brigham City, UT 84302-4712

Call (435) 239-8524 Map

Mailing address

707 N Main St
Brigham City, UT 84302-1449

Other practice locations

241 W Forest St Ste A, Brigham City, UT 84302-2014 · (435) 723-6120

Specialties and licenses

Taxonomy	Code	License
General Practice Physician Primary	208D00000X	None listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

NPI record

NPI: 1841856986
Entity type: Organization (Type 2)
Issued: May 14, 2019
Last updated: Mar 22, 2021
Status: Active

Other names

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Northwestern Band of the Shoshone Nation Health Clinic · doing business as
Northwestern Band of the Shoshone Nation Health Clinic · doing business as

Authorized official

Hunter Timbimboo
Director of Health & Human Services
(435) 237-8066

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1841856986

Northwestern Band of the Shoshone's National Provider Identifier is 1841856986, issued on May 14, 2019. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Brigham City, UT. The record was last updated on Mar 22, 2021.