Uintah Basin Medical Center INC

NPI #1417022864 in Roosevelt, Utah

Provider Information

NPI Number: 1417022864
Entity Type: Organization
Organization Name: Uintah Basin Medical Center INC
Subpart: Yes (part of a larger organization)
Parent Organization: UINTAH BASIN MEDICAL CENTER INC
Primary Specialty: Pharmacy
Enumeration Date: Nov 21, 2006
Last Updated: Apr 16, 2021

Practice Location

Address: 250 W 300 N
Address 2: (75-2)
City: Roosevelt
State: Utah
ZIP Code: 84066-2336
Phone: (435) 722-6123

Authorized Official

Name: JAMES MARSHALL
Title: CEO
Phone: (435) 722-6162

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy	3336L0003X
Pharmacy - Clinic Pharmacy — Clinic Pharmacy	3336C0002X
Pharmacy - Compounding Pharmacy — Compounding Pharmacy	3336C0004X
Pharmacy	333600000X	Primary

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