Confederated Tribes Of The Goshute Reservation is not a DME supplier for medicare equipments and products.
Confederated Tribes Of The Goshute Reservation is a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in Salt Lake City, Utah. It is located at 660 S 200 E Ste 250, Salt Lake City and it's customer support contact number is 801-359-2256. The authorized person of Confederated Tribes Of The Goshute Reservation is Crystal Contreras who is Billing of the pharmacy and his contact number is 801-359-2256. Active license number of Confederated Tribes Of The Goshute Reservation is 8547079-1704 for Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in Utah. Confederated Tribes Of The Goshute Reservation 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.
Pharmacy Details:
Confederated Tribes Of The Goshute Reservation type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Confederated Tribes Of The Goshute Reservation
Type:
Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy
Location:
660 S 200 E Ste 250, Salt Lake City, Utah, 84111-3846
Phone:
801-359-2256
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Crystal Contreras
Position:
Billing
Contact Number:
801-359-2256
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1003251638
NPI Enumeration Date:
09 May, 2013
NPI Last Update On:
21 Dec, 2017
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Confederated Tribes Of The Goshute Reservation are as mentioned below.
Specialization
License Number
State
Status
Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy
8547079-1704
Utah
Primary
Clinic Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2140406
Other
Pk
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
660 S 200 E, Suite 250 Salt Lake City, Utah
Zip:
84111-3835
Phone Number:
801-359-2256
Fax Number:
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Patients can reach Confederated Tribes Of The Goshute Reservation at 660 S 200 E Ste 250, Salt Lake City, Utah or can call on customer care at 801-359-2256.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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