Provider Demographics
NPI:1942626015
Name:DUCHESNE COUNTY
Entity Type:Organization
Organization Name:DUCHESNE COUNTY
Other - Org Name:UINTAH BASIN LONG TERM CARE AND SENIOR VILLA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COUNTY COMMISSIONER
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:WINTERTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-738-1139
Mailing Address - Street 1:PO BOX 270
Mailing Address - Street 2:
Mailing Address - City:DUCHESNE
Mailing Address - State:UT
Mailing Address - Zip Code:84021-0270
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:250 W 300 N
Practice Address - Street 2:
Practice Address - City:ROOSEVELT
Practice Address - State:UT
Practice Address - Zip Code:84066-2336
Practice Address - Country:US
Practice Address - Phone:435-725-2070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-12
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2014-NCF-50755314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility