CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION (NPI# 1992141964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992141964 |
| Entity Type | Organization |
| Organization Name | CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION |
| Other Organization Name | SACRED CIRCLE HEALTHCARE |
| Practice Address |
660 S 200 E Suite 250 Salt Lake City UT 84111-3835 |
| Practice Telephone | 8013592256 |
| Mailing Telephone | 8013592256 |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2014-02-17 |
| Authorized Official Name | MADELINE GREYMOUNTAIN (BUSINESS COUNCIL CHAIR WOMAN) |
| Authorized Official Telephone | 4352341302 |
| Is Organization Subpart | Y |
| Parent Organization Name | CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Sacred Circle Healthcare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396199972 | Confederated Tribes of The Goshute Reservation | Clinic/Center | Hc 61 Box 6104, Ibapah, UT 84034-6003 | 2016-04-20 |
| 1750510277 | Confederated Tribes of The Goshute Reservation | General Practice | 195 Tribal Center Rd, Ibapah, UT 84034 | 2009-07-06 |
| 1194189233 | Confederated Tribes of The Goshute Reservation | Clinic/Center | 660 S 200 E, Suite 250, Salt Lake City, UT 84111-3835 | 2016-04-05 |
| 1265892012 | Confederated Tribes of The Goshute Reservation | Clinical Medical Laboratory | 660 S 200 E Ste 250, Salt Lake City, UT 84111-3846 | 2016-03-07 |
| 1003275280 | Confederated Tribes of The Goshute Reservation | Clinic/Center | 660 S 200 E Ste 250, Salt Lake City, UT 84111-3846 | 2016-02-17 |
| 1467811562 | Confederated Tribes of The Goshute Reservation | Pharmacy | 660 S 200 E, Salt Lake City, UT 84111-3835 | 2016-02-17 |
| 1174969125 | Confederated Tribes of The Goshute Reservation | Clinic/Center | 660 S 200 E Ste 250, Salt Lake City, UT 84111-3846 | 2013-05-17 |
| 1003251638 | Confederated Tribes of The Goshute Reservation | Pharmacy | 660 S 200 E Ste 250, Salt Lake City, UT 84111-3846 | 2013-05-09 |
| Street Address |
660 S 200 E SUITE 250 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84111-3835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124089628 | Tamarah Leigh Barrow | Counselor | 660 S 200 E, Salt Lake City, UT 84111-3853 | 2006-04-01 |
| 1548762990 | Edwin Winkworth IIi | Counselor | 660 S 200 E, Salt Lake City, UT 84111-3835 | 2018-03-01 |
| 1609374404 | Jennifer Bethers | Physical Therapy Assistant | 660 S 200 E, Salt Lake City, UT 84111-3835 | 2018-01-26 |
| 1154836567 | Lee Smitherman | Social Worker | 660 S 200 E, Salt Lake City, UT 84111-3835 | 2017-12-07 |
| 1285155432 | Jordon Palmer | Social Worker | 660 S 200 E, Salt Lake City, UT 84111-3835 | 2017-06-28 |
| 1891248936 | Sacred Circle Healthcare | Clinic/Center | 660 S 200 E, Ste 250, Salt Lake City, UT 84111-3835 | 2016-07-25 |
| 1194189233 | Confederated Tribes of The Goshute Reservation | Clinic/Center | 660 S 200 E, Suite 250, Salt Lake City, UT 84111-3835 | 2016-04-05 |
| 1467811562 | Confederated Tribes of The Goshute Reservation | Pharmacy | 660 S 200 E, Salt Lake City, UT 84111-3835 | 2016-02-17 |
| 1326420217 | Carmelo O Diaz | Physician Assistant | 660 S 200 E, Ste 250, Salt Lake City, UT 84111-3835 | 2015-06-26 |
| 1245676972 | Danny W Carter | Pharmacist | 660 S 200 E, Suite 250, Salt Lake City, UT 84111-3835 | 2013-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316551336 | Mary Ann Rush | Case Manager/Care Coordinator | 334 E. 100 S., Slc, UT 84111 | 2020-09-08 |
| 1790396554 | Stephanie G Mishenko | Military Health Care Provider | 344e 100s, Slc, UT 84111 | 2020-08-13 |
| 1386264802 | Mckensee M Carter | Case Manager/Care Coordinator | 334 E 100 S, Salt Lake City, UT 84111 | 2020-04-24 |
| 1316421761 | Community Health Centers, Inc. | Social Worker | 610 S 200 E Ste #b, Salt Lake City, UT 84111 | 2018-09-21 |
| 1528545506 | Lauren Brittney Harman | Case Manager/Care Coordinator | 344 E. 100 S., Salt Lake City, UT 84111 | 2018-07-23 |
| 1851896484 | Shivani Chowdhary | Dentist | 370 E South Temple Ste 350, Salt Lake City, UT 84111 | 2018-03-26 |
| 1801390661 | Jaylee Marie Watman | Case Manager/Care Coordinator | 344 E. 100 S. Ste 301, Salt Lake City, UT 84111 | 2018-03-19 |
| 1467963918 | Victoira Julia Graham | Case Management | 344 East 100 South Ste 301, Salt Lake City, UT 84111 | 2017-10-23 |
| 1750805404 | Kayla Hymas | Behavioral Analyst | 243 E. 400 S., Slc, UT 84111 | 2017-08-02 |
| 1134643224 | Julie Peaslee | Counselor | 275 E South Temple Ste 110, Salt Lake City, UT 84111 | 2017-07-31 |
| Find all providers in zip 84111 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | 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). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083086631 | Treatment Assessment Screening Center, Inc | Clinic/Center | 145 E 1300 S Ste 101, Salt Lake City, UT 84115-6118 | 2015-10-22 |
| 1285016972 | Gonstead Chiropractic | Clinic/Center | 1154 S 300 W, Suite C, Salt Lake City, UT 84101-3053 | 2015-06-18 |
| 1932490190 | Work Care Clinic | Clinic/Center | 2390 S Redwood Road, Salt Lake City, UT 84119-2027 | 2011-04-22 |
| 1578869954 | Directmd, LLC | Clinic/Center | Salt Lake County Government Ctr, 2001 South State Street, Ste S2400, Salt Lake City, UT 84190-0001 | 2011-02-02 |
| 1124156906 | Madhuri Shah | Clinic/Center | 515 S 400 E, Salt Lake City, UT 84111-3501 | 2007-03-01 |
| 1902833270 | Diabetic Treatment Centers of America | Clinic/Center | 50 S 900 E, Suite 1a, Salt Lake City, UT 84102-1366 | 2006-06-26 |
| 1447733258 | Mr Health, Inc. | Clinic/Center | 1860 S 300 W Ste B, Salt Lake City, UT 84115-2198 | 2018-09-08 |
| 1376032672 | Symbiosis Counseling | Clinic/Center | 1208 E 3300 S, Salt Lake City, UT 84106-2522 | 2018-05-02 |
| 1780182683 | Valleyfit Clinic LLC | Clinic/Center | 4460 S Highland Dr Ste 300, Salt Lake City, UT 84124-3562 | 2018-01-25 |
| 1023521119 | All for Women Healthcare, Inc | Clinic/Center | 2605 E 3300 S, Salt Lake City, UT 84109-2728 | 2017-11-10 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84111 |
Please comment or provide details below to improve the information on CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.