OrganizationActive
Uintah Basin Medical Center Inc
NPI 1417022864 · Pharmacy · Roosevelt, UT
Provider details
- NPI number
- 1417022864
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Parent organization
- Uintah Basin Medical Center Inc
- Organization subpart
- Yes
- Authorized official
- James Marshall, Ceo(435) 722-6162
- License
- 4788706-1703 (UT)
Specialties & taxonomies
Suppliers
Suppliers
Suppliers
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
250 W 300 N
(75-2)
Roosevelt, UT 84066-2336
Phone: (435) 722-6123
Street-level locationGet directions
Mailing address
250 W 300 N
Roosevelt, UT 84066-2336
Other names (DBA / former)
- Doing business as
- Uintah Basin Medical Center Outpatient Pharmacy
Registry dates
- Enumerated
- 2006-11-21
- Last updated
- 2021-04-16
- Certified
- 2021-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.