Confederated Tribes of the Goshute Reservation
NPI 1750510277ActiveOrganization· General Practice· Ibapah, UT
General Practice in Ibapah, Utah, registered in NPPES in July 2009. The authorized official on file is Crystal Contreras, Billing. Enrolled in Medicare as part b supplier - clinic/group practice and part a provider - federally qualified health center (fqhc).
Overview
| NPI | 1750510277 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 6, 2009 |
| Last updated in NPPES | Feb 5, 2020 |
| Certified by provider | Feb 5, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX); Part A Provider - Federally Qualified Health Center (FQHC) (UT) |
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