NPIMap

Organization Active NPI

Confederated Tribes of the Goshute Reservation

  • Clinic/Center
  • Ibapah, UT
National Provider Identifier
1396199972
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
9453799-8906 Issued in UT
Legal business name
CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION
Practice address
HC 61 Box 6104
Ibapah, UT 84034-6003
Phone
(435) 234-1138
NPI assigned
Apr 20, 2016
Last updated
Dec 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Linda Thatcher
Title
Billing
Phone
(801) 359-2256

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Clinic/Center 261Q00000X 9453799-8906 UT Primary

Addresses

Primary practice location

HC 61 Box 6104
Ibapah, UT 84034-6003

Mailing address

HC 61 Box 6104
Ibapah, UT 84034-6003
Phone (435) 234-1138

National Provider Directory

National Provider Directory
Tax ID family
Sacred Circle Healthcare14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1396199972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 61 BOX 6104",
            "city": "IBAPAH",
            "state": "UT",
            "postal_code": "840346003",
            "telephone_number": "435-234-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 61 BOX 6104",
            "city": "IBAPAH",
            "state": "UT",
            "postal_code": "840346003",
            "telephone_number": "435-234-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-20",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "THATCHER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "801-359-2256"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "UT",
            "license": "9453799-8906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ibapah, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.