Healthcare Provider Details

I. General information

NPI: 1407787666
Provider Name (Legal Business Name): UINTAH BASIN MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15548 W 4000 N
ALTAMONT UT
84001
US

IV. Provider business mailing address

250 W 300 N
ROOSEVELT UT
84066-2336
US

V. Phone/Fax

Practice location:
  • Phone: 435-454-3173
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JAMES MARSHALL
Title or Position: CEO
Credential:
Phone: 435-725-7448