NPIMap

Organization Active NPI

Uintah Basin Medical Center

Doing business as Uintah Basin Medical Center Dialysis Vernal

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Vernal, UT
National Provider Identifier
1265613541
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
UINTAH BASIN MEDICAL CENTER
Doing business as
Uintah Basin Medical Center Dialysis Vernal
Practice address
224 E 500 S
Vernal, UT 84078-3252
Phone
(435) 722-6163
Fax
(435) 722-9291
NPI assigned
Nov 15, 2007
Last updated
Oct 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James Marshall, FACHE
Title
Ceo
Phone
(435) 722-6162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

224 E 500 S
Vernal, UT 84078-3252

Mailing address

250 W 300 N
Roosevelt, UT 84066-2336
Phone (435) 722-6163

Other practice location 1

405 N 500 W
Vernal, UT 84078
Phone (435) 781-2335

Other names 1

  • Uintah Basin Medical Center Dialysis Vernal Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080131000680 UT Part A Provider - End-Stage Renal Disease Facility (ESRD) 0244131944 Practice locations: Vernal, UT

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
463506 Uintah Basin Med Ctr Dialysis- VernalCCN 463506
Overall star rating
1.0 of 5
Ownership
Non-profit
Certified
Oct 25, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Dialysis stations
10

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

National Provider Directory

National Provider Directory
Tax ID family
Duchesne Cnty Hosp Phar12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Uintah Basin Rehabilitation and Senior VillaRoosevelt, UT, CCN 465084 Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF		 May 31, 2016
May 31, 2016
Uintah Basin Medical Center the Clinic RooseveltRoosevelt, UT, CCN 463994 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 14, 2020
Uintah Basin Medical Center the Clinic DuchesneDuchesne, UT, CCN 463995 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 14, 2020
Uintah Basin Medical Center the Clinic VernalVernal, UT, CCN 463997 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 12, 2014

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1265613541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W 300 N",
            "city": "ROOSEVELT",
            "state": "UT",
            "postal_code": "840662336",
            "telephone_number": "435-722-6163",
            "fax_number": "435-722-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 E 500 S",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840783252",
            "telephone_number": "435-722-6163",
            "fax_number": "435-722-9291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 N 500 W",
            "address_purpose": "LOCATION",
            "city": "Vernal",
            "state": "UT",
            "postal_code": "84078",
            "country_code": "US",
            "telephone_number": "435-781-2335",
            "fax_number": "435-781-0153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UINTAH BASIN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "435-722-6162",
        "authorized_official_credential": "FACHE"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Uintah Basin Medical Center Dialysis Vernal",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Uintah Basin Medical Center Dialysis Vernal",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vernal, UT

Sources for this page

Verify at the official NPI Registry.