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Organization

UINTAH BASIN MEDICAL CENTER

Active
Other names
Uintah Basin Medical Center Dialysis
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES MARSHALL FACHE (CEO)
(435) 722-6162
Entity
Organization

Contact information

Practice address
250 W 300 N, ROOSEVELT, UT 84066-2336
(435) 722-4691
Mailing address
250 W 300 N, ROOSEVELT, UT 84066-2336
(435) 722-4691
(435) 722-9291

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
2007-ESRD-82816
UT

Other

Enumeration date
11/30/2007
Last updated
10/22/2025
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