Uintah Basin Medical Center
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Vernal, UT
NPI 1265613541 · NPPES record last updated Oct 22, 2025
Key facts
- NPI
- 1265613541
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- Legal business name
- UINTAH BASIN MEDICAL CENTER
- Practice address
- 224 E 500 S
Vernal, UT 84078-3252 - Phone
- (435) 722-6163
- Fax
- (435) 722-9291
- NPI assigned
- Nov 15, 2007
- Organization subpart
- No
Authorized official
- Name
- James Marshall, FACHE
- Title
- Ceo
- Phone
- (435) 722-6162
Owned or controlled facilities with NPI records 4
Other NPIs with the same Medicare PAC ID 8
Corporate family (same tax ID) 11
Practitioners 62
-
Samuel Mark Bertoch, FNP-C
-
Tanya Sarah Boren, FNP
-
Michaela J Curry, FNP-C
-
Braxton Ray Duncan, D.O.
-
Gary F Graham, MD
-
Whitney Gurr, APRN
-
Cameron Phillip Hardy, P.A.C
-
Megan Hopkins, APRN
-
Bradley F Jenkins, FNP
-
Samuel T. Keane, MD
-
Shalese Marie Killian, FNP-C
-
Matthew Robert Kresge, PT, DPT
-
Darwin L McKee, P.A.-C
Affiliated clinicians 1
Medicare Care Compare: Dialysis facility
- Listed as
- 463506 Uintah Basin Med Ctr Dialysis- Vernal
- Overall star rating
- ★☆☆☆☆ 1.0 of 5
- Ownership
- Non-profit
- Certified
- Oct 25, 2007
- Medicare certification status
- Active
- Dialysis stations
- 10
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Uintah Basin Rehabilitation and Senior Villa |
Skilled nursing facility | Operational/Managerial Control (100%) Adp of the SNF |
May 31, 2016 May 31, 2016 |
| Uintah Basin Medical Center the Clinic Roosevelt |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Apr 14, 2020 |
| Uintah Basin Medical Center the Clinic Duchesne |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Apr 14, 2020 |
| Uintah Basin Medical Center the Clinic Vernal |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Oct 12, 2014 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080131000680 | UT | Part a Provider - End-Stage Renal Disease Facility (ESRD) | 0244131944 | Practice locations: Vernal, UT |
National Provider Directory
- Tax ID family
- Duchesne Otolaryngology
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Yes |
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
- Uintah Basin Medical Center Dialysis Vernal
Other providers in Vernal, UT
- True Alliance Counseling, LLC
- True Self Revival Counseling, LLC
- Ashley Nadene Tuft
- Katie Chanelle Ufford
- Uintah Adult Day Center
- Uintah Basin Medical Center
- Uintah Basin Medical Center
- Uintah Basin Medical Center
- Uintah Basin Tri-County Mental Health and Substance Abuse Local Author
- Uintah Basin Tri-County Mental Health and Substance Abuse Local Author
All providers in Vernal, UT · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.