Organization Active NPI

Northwestern Band of the Shoshone Nation

  • Public Health or Welfare Agency
  • Brigham City, UT
National Provider Identifier
1659500809
Registry record updated Jul 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
NORTHWESTERN BAND OF THE SHOSHONE NATION
Practice address
707 N Main St
Brigham City, UT 84302-1449
Phone
(435) 734-2286
Fax
(435) 734-0424
NPI assigned
Jul 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2009

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

Authorized official

Name
Robin M Troxell
Title
Tribal Health Administrator
Phone
(435) 734-2286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

707 N Main St
Brigham City, UT 84302-1449

Mailing address

707 N Main St
Brigham City, UT 84302-1449
Phone (435) 734-2286

National Provider Directory

National Provider Directory

Locations

707 N Main St
Brigham City, UT 84302
Phone (435) 734-2286

NPI Registry JSON

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1659500809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N MAIN ST",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843021449",
            "telephone_number": "435-734-2286",
            "fax_number": "435-734-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N MAIN ST",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843021449",
            "telephone_number": "435-734-2286",
            "fax_number": "435-734-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWESTERN BAND OF THE SHOSHONE NATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-09",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "TROXELL",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "TRIBAL HEALTH ADMINISTRATOR",
        "authorized_official_telephone_number": "435-734-2286"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brigham City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.