UINTAH BASIN DIALYSIS CENTER – NPI #1598871337
Clinic/Center

UINTAH BASIN DIALYSIS CENTER is an AHC clinic located in ROOSEVELT, UT. NPPES has assigned the NPI number 1598871337 to UINTAH BASIN DIALYSIS CENTER on August 22, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “UINTAH BASIN DIALYSIS CENTER” is a dba name, the actual legal business name for this organization is BESSA, INC. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for UINTAH BASIN DIALYSIS CENTER below.

NPI Profile for
BESSA, INC

NPI Number
1598871337
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BESSA, INC
Doing Business As (dba): UINTAH BASIN DIALYSIS CENTER
Primary location
384 NORTH 100 WEST #74-6
ROOSEVELT, UT 84066
Phone: (435) 722-5056 Fax: (435) 722-0779
Mailing address
384 NORTH 100 WEST (74-6)
ROOSEVELT, UT 84066
Phone: (435) 722-5056 Fax: (435) 722-0779
Organization Subpart
No
Authorized Official
EDWIN BULLOCH
ADMINISTRATOR
Phone: (435) 722-5056
Updated
Identifiers

Identifiers for UINTAH BASIN DIALYSIS CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS BLUE SHIELD PRUT87035602601001
MEDICAIDUT870356026005
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)
UT 2005-ESRD-229

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.