MEDICARE: UINTAH CARE CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center	2963	UT

General Provider Information

NPI Number	:	1316038854
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UINTAH CARE CENTER

Provider Business Mailing Address
First Line	:	510 S 500 W
Second Line	:
City	:	VERNAL
State	:	UT
Zip	:	84078-4301
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	510 S 500 W
Second Line	:
City	:	VERNAL
State	:	UT
Zip	:	84078-4301
Country	:	US
Telephone Number	:	435-781-3511
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	WAYNE DUNBAR
Credential	:
Telephone Number	:	435-781-3511

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	08/22/2020

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Directions to “UINTAH CARE CENTER ” Practice Location

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