# UINTAH BASIN MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Duchesne Valley Medical Clinic Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063651669
- **Authorized official:** BRENT HALES (CFO)
- **Authorized official phone:** (435) 722-6164

## Contact information

- **Practice address:** 50 EAST 200 SOUTH, DUCHESNE, UT 84021
- **Practice address phone:** (435) 738-5403
- **Practice address fax:** (435) 738-5405
- **Mailing address:** PO BOX 905, 50 EAST 200 SOUTH, DUCHESNE, UT 84021-0905
- **Mailing address phone:** (435) 738-5403
- **Mailing address fax:** (435) 738-5405

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 7263753-1703 | UT | Yes |

## Other

- **Enumeration date:** 02/05/2009
- **Last updated:** 10/22/2025