GOSHUTE HEALTH CLINIC - NPI 1508296310 - Non-emergency Medical Transport (VAN) in Ibapah, UT

Q: What is Confederated Tribes Of The Goshute Indian Reservation's specialty?

The primary specialty registered for this NPI is Non-emergency Medical Transport (VAN) with taxonomy code 343900000X.

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About Goshute Health Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOSHUTE HEALTH CLINIC (NPI 1508296310) is a healthcare organization registered as a non-emergency medical transport (van) in Ibapah, Utah and active in the NPI registry since November 2013. The organization holds a CLIA Waiver certificate valid through October 17, 2026 and lists Christine Steele, Acting Health Director, as its authorized official.

NPPES Registry Identity

NPI1508296310

Entity TypeOrganization

Primary Taxonomy343900000X

Legal Business NameCONFEDERATED TRIBES OF THE GOSHUTE INDIAN RESERVATION

Location Address195 TRIBAL CENTER RDIbapah, UT 84034

Mailing AddressP.o. Box 6104, 195 Tribal Center RdIbapah, UT 84034-6104 · (435) 234-1138 · Fax (435) 234-1202

Phone(435) 234-1138

Fax(435) 234-1202

Organization SubpartNo

Authorized OfficialChristine SteeleActing Health Director · (435) 234-1138

Enumeration DateNovember 14, 2013

Last NPPES UpdateDecember 19, 2024

NPPES CertifiedDecember 19, 2024

✔ NPI 1508296310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-emergency Medical Transport (VAN)Transportation Services

Taxonomy Code343900000X

Definition

A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

195 TRIBAL CENTER RD, Ibapah, UT 84034

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Other Names 1

Doing Business AsGoshute Health Clinic

Other Identifiers 1

Medicaid1750510277UT

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D2156486

Goshute Health Clinic · Ibapah, UT

Active · expires Oct 17, 2026

CLIA Number46D2156486

Laboratory TypeTribal Clinic

Certificate Effective DateOctober 18, 2024

Certificate Expiration DateOctober 17, 2026

Laboratory DirectorCarisa S. Monroy

Laboratory Phone(435) 234-1138

Laboratory LocationGoshute Health Clinic195 Tribal Center Road, Ibapah, UT 84034

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION

General Practice

195 TRIBAL CENTER RD
IBAPAH, UT 84034

Tooele County (435) 234-1194

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Confederated Tribes Of The Goshute Indian Reservation's NPI number?

The NPI number for Confederated Tribes Of The Goshute Indian Reservation is 1508296310. It was assigned to this organization in the NPPES registry on November 14, 2013. The provider is doing business as Goshute Health Clinic.

Where is Confederated Tribes Of The Goshute Indian Reservation located?

Confederated Tribes Of The Goshute Indian Reservation is located at 195 Tribal Center Rd, Ibapah, UT 84034. The listed phone number is (435) 234-1138.

What is Confederated Tribes Of The Goshute Indian Reservation's specialty?

The primary specialty registered for this NPI is Non-emergency Medical Transport (VAN) with taxonomy code 343900000X.

Does Confederated Tribes Of The Goshute Indian Reservation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2156486) is associated with this NPI, valid through October 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Confederated Tribes Of The Goshute Indian Reservation was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.