Uintah Basin Dialysis Center

LBN: Bessa, Inc
Uintah Basin Dialysis Center is an health care organization with primary practice located at 384 North 100 West #74-6 , Roosevelt UT 84066. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Bessa, Inc can be contacted via phone (435) 722-5056, or through Bulloch, Edwin C via phone (435) 722-5056.

Contact Information

Primary practice address
384 North 100 West #74-6 Roosevelt UT 84066
Phone: (435) 722-5056
Fax: (435) 722-0779
Website:
Map and Directions
Authorized official contact:
Name: Bulloch, Edwin C
Phone: (435) 722-5056

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 2005-ESRD-229 Utah

Profile Details

NPI number 1598871337
LBN Legal business name Bessa, Inc
DBA Doing business as Uintah Basin Dialysis Center
Authorized official Bulloch, Edwin C
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2006
Last updated Aug 22nd, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598871337 NPPES
Utah Other 87035602601001 BLUE CROSS BLUE SHIELD PR
Utah MEDICAID 870356026005 BLUE CROSS BLUE SHIELD PR

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