# UINTAH BASIN MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UINTAH BASIN MEDICAL CENTER
- **Other names:** Uintah Basin Healthcare Vernal Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1285420414
- **Legal business name:** UINTAH BASIN MEDICAL CENTER
- **Authorized official:** MIKE MATHIS (MANAGER)
- **Authorized official phone:** (435) 789-4691

## Contact information

- **Practice address:** 405 N 500 W, VERNAL, UT 84078-1907
- **Practice address phone:** (435) 725-2054
- **Mailing address:** 405 N 500 W, VERNAL, UT 84078-1907
- **Mailing address phone:** (435) 725-2054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 04/15/2025
- **Last updated:** 07/31/2025