NPIMap

Organization Active NPI

Confederated Tribes of the Goshute Reservation

Doing business as Sacred Circle Healthcare

  • Clinic/Center
  • Salt Lake City, UT
National Provider Identifier
1992141964
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION
Doing business as
Sacred Circle Healthcare
Practice address
660 S 200 E
Suite 250
Salt Lake City, UT 84111-3835
Phone
(801) 359-2256
NPI assigned
May 17, 2013
Last updated
Dec 11, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CONFEDERATED TRIBES OF THE GOSHUTE RESERVATIONAs reported in NPPES

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

660 S 200 E
Suite 250
Salt Lake City, UT 84111-3835

Mailing address

660 S 200 E
Suite 250
Salt Lake City, UT 84111-3835
Phone (801) 359-2256

Other names 1

  • Sacred Circle Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130724000653 TX Part B Supplier - Clinic/Group Practice 0042451650 Receives reassigned benefits from 80 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Salt Lake City, UT; West Valley City, UT; Ibapah, UT
O20140618000896 UT Part A Provider - Federally Qualified Health Center (FQHC) 0042451650 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Salt Lake, UT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992141964. Details of each certification follow.

Federally qualified health center certification: CCN 461840

Legal name
CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION
Doing business as
SACRED CIRCLE HEALTH CARE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 17, 2014
Last certification
Jun 17, 2014
Ownership / control type
For profit – corporation
Organization structure
OtherProprietary
Incorporated
Nov 26, 1940 in UT
Enrollment address
660 South 200 East
Suite 250
Salt Lake, UT 84111-3846

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Confederated Tribes of the Goshute Indian Reservation

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Hope Jackson Individual Corporate DirectorBoard Member Apr 1, 2018
Matthew Judd Individual Corporate DirectorCfo Apr 1, 2018 100%
Operational/Managerial ControlCfo May 1, 2018
Mary Pete-Freeman Individual Corporate DirectorBard Member Dec 1, 2018
Lorena Horse Individual Operational/Managerial ControlCeo Apr 4, 2018 100%

Practitioners & affiliated clinicians

Practitioners 35

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.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1992141964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S 200 E",
            "address_2": "SUITE 250",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841113835",
            "telephone_number": "801-359-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 S 200 E",
            "address_2": "SUITE 250",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841113835",
            "telephone_number": "801-359-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION",
        "enumeration_date": "2013-05-17",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sacred Circle Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.