NPIMap

Organization Active NPI

Uintah Basin Medical Center

Doing business as Uintah Basin Medical Center Vernal

  • General Acute Care Hospital
  • Vernal, UT
National Provider Identifier
1881447571
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
UINTAH BASIN MEDICAL CENTER
Doing business as
Uintah Basin Medical Center Vernal
Practice address
405 N 500 W
Vernal, UT 84078-1907
Phone
(435) 789-4691
Fax
(435) 722-9291
NPI assigned
Apr 10, 2024
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
Brent Hales
Title
Cfo
Phone
(435) 722-6164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

405 N 500 W
Vernal, UT 84078-1907

Mailing address

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

Other names 1

  • Uintah Basin Medical Center Vernal Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050721000385 UT Part A Provider - Hospital 0244131944 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ballard, UT; Vernal, UT; Roosevelt, UT; Manila, UT; Duchesne, UT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881447571. Details of each certification follow.

Hospital certification: CCN 460019

Legal name
UINTAH BASIN MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jan 1, 1968
Last certification
Apr 1, 2021
Beds
49
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1966 in UT
Enrollment address
250 W 300 N
Roosevelt, UT 84066-2336
Other Hospital Practice Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Uintah Basin Medical CenterCCN 460019 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Duchesne Co Hosp12 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 disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Tyler Rasmussen Individual Corporate Director Jan 1, 2015
Brent H Hales Individual Corporate OfficerCfo Aug 2, 2010
Preston D Marx Individual Corporate OfficerVP of Information Technology Oct 29, 2014
Tim Negus Individual Corporate Director Jan 1, 2024
Roger K Marett Individual Corporate OfficerVP of Physician Services Oct 29, 2014
Bobby C Richardson Individual Corporate OfficerCno Oct 29, 2014
Roger O Burton Individual Corporate OfficerVP of Quality Oct 29, 2014
Shelley Fenn Individual Corporate Director Jan 1, 2024
Tyler Allred Individual Corporate Director Jan 1, 2015
James I Marshall Individual Corporate OfficerCeo Oct 1, 2014
W-2 Managing Employee Oct 1, 2014
Randall C Bennett Individual Corporate OfficerV P of Professional Services Oct 9, 2014

Practitioners & affiliated clinicians

Affiliated clinicians 152

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

View all 152

NPI Registry JSON

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1881447571",
    "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": "405 N 500 W",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840781907",
            "telephone_number": "435-789-4691",
            "fax_number": "435-722-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UINTAH BASIN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "HALES",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "435-722-6164"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Uintah Basin Medical Center Vernal",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vernal, UT

Sources for this page

Verify at the official NPI Registry.