| NPI | 1922280007 |
|---|---|
| Doing Business As | UINTAH BASIN MEDICAL CENTER DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | JAMES MARSHALL CEO 435-722-6162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: UT 2007-ESRD-82816) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2023-04-06 |