OrganizationActive
Uintah Basin Medical Center
NPI 1922280007 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Roosevelt, UT
Provider details
- NPI number
- 1922280007
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- James Marshall, Ceo(435) 722-6162
- License
- 2007-ESRD-82816 (UT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Roosevelt, UT 84066-2336
Phone: (435) 722-4691
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 Dialysis
Registry dates
- Enumerated
- 2007-11-30
- Last updated
- 2025-10-22
- Certified
- 2025-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.