{"npi":"1508296310","type":"NPI-2","status":"active","name":{"display":"Confederated Tribes Of The Goshute Indian Reservation","other":[],"organization_name":"CONFEDERATED TRIBES OF THE GOSHUTE INDIAN RESERVATION","authorised_official":"Christine Steele"},"specialty":{"primary_taxonomy":"343900000X","primary_taxonomy_description":"Non-emergency Medical Transport (VAN)","slug":"non-emergency-medical-transport-van","schema_org_specialty":null,"all":[{"code":"343900000X","description":"Non-emergency Medical Transport (VAN)","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"195 TRIBAL CENTER RD","city":"IBAPAH","state":"UT","postal_code":"84034","country_code":"US","phone":"4352341138","fax":"4352341202"},{"purpose":"MAILING","street_1":"P.O. BOX 6104","city":"IBAPAH","state":"UT","postal_code":"840346104","country_code":"US","street_2":"195 TRIBAL CENTER RD","phone":"4352341138","fax":"4352341202"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"1750510277","state":"UT","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2013-11-14","last_updated":"2024-12-19","_meta":{"source":"NPPES","snapshot_date":"2024-12-19","doc_url":"https://findmynpi.com/api"}}