Northwestern Band of the Shoshone

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

NORTHWESTERN BAND OF THE SHOSHONE

Doing business as

Northwestern Band of the Shoshone Nation Health Clinic

Practice address

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

Phone

(435) 239-8524

NPI assigned

May 14, 2019

Last updated

Mar 22, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hunter Timbimboo

Title

Director of Health & Human Services

Phone

(435) 237-8066

Specialties & licenses 1

Addresses

Other names 1

• Northwestern Band of the Shoshone Nation Health Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Beryl Harp, A.R.N.P.

  • Nurse Practitioner
  • Tremonton, UT
  • NPI 1508912643
  NPD

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1841856986",
    "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": "984 S 500 W STE 3",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843024712",
            "telephone_number": "435-239-8524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "241 W Forest St Ste A",
            "address_purpose": "LOCATION",
            "city": "Brigham City",
            "state": "UT",
            "postal_code": "843022014",
            "country_code": "US",
            "telephone_number": "435-723-6120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHWESTERN BAND OF THE SHOSHONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-14",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "TIMBIMBOO",
        "authorized_official_first_name": "HUNTER",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTH & HUMAN SERVICES",
        "authorized_official_telephone_number": "435-237-8066"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwestern Band of the Shoshone Nation Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northwestern Band of the Shoshone Nation Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joshua Thomas North
• Whitney Northcutt
• Northern Utah Medical Supply LLC (HP Medical Clinic)
• Northland Hearing Centers Inc (All American Hearing)
• Northland Hearing Centers, Inc. (Audibel Hearing Centers)
• Northwestern Band of the Shoshone Nation
• Sarah Clayton Nowell
• Adam Daniel Noyes
• Matthew K Noyes
• Kylee Nuffer

• General Practice Physician in Brigham City, UT
• Providers in Brigham City, UT by specialty
• General Practice Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.