Duchesne Valley Medical Clinic Pharmacy
LBN: Uintah Basin Medical Center
Duchesne Valley Medical Clinic Pharmacy is an health care organization with primary practice located at 50 East 200 South , Duchesne UT 84021. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Uintah Basin Medical Center can be contacted via phone (435) 738-5403, or through Anderson, Lonnie via phone (435) 722-6123.
Contact Information
Primary practice address
50 East 200 South
Duchesne UT 84021
Phone: (435) 738-5403
Fax: (435) 738-5405
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 7263753-1703 | Utah |
Profile Details
| NPI number | 1063651669 |
|---|---|
| LBN Legal business name | Uintah Basin Medical Center |
| DBA Doing business as | Duchesne Valley Medical Clinic Pharmacy |
| Authorized official | Anderson, Lonnie PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 5th, 2009 |
| Last updated | Jun 19th, 2012 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063651669 | NPPES |
| Other | 4611249 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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