CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION is an indian health service tribal urban indian health i t u pharmacy in Salt Lake City, UT. The provider is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION NPI is 1003251638. The provider is registered as an organization entity type.
The provider's business location address is:
660 S 200 E STE 250
SALT LAKE CITY, UT
ZIP 84111-846
Phone: (801) 359-2256
The provider's authorized official is Crystal Contreras .
The authorized official title is Billing and has the following contact phone number (801) 359-2256.
The enumeration date for this NPI number is 5/9/2013 and was last updated on 12/21/2017.