Organization Name: | UINTAH CARE CENTER |
NPI Number: | 1316038854 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WAYNE DUNBAR (ADMINISTRATOR) |
Mailing Address: | 510 S 500 W Vernal |
State: | UT US |
Postal Code: | 840784301 |
Phone Number: | 4357813511 |
Fax Number: | |
NPI Enumeration Date: | 09/28/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 2963 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |