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NORTHEASTERN UTAH MEDICAL GROUP
NPI 1740482009
Durable Medical Equipment & Medical Supplies in Roosevelt, UT

Active since May 31, 2007
210 W 300 N, ROOSEVELT, UT 84066(435) 722-3971(435) 722-6104 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northeastern Utah Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHEASTERN UTAH MEDICAL GROUP (NPI 1740482009) is a healthcare organization registered as a durable medical equipment & medical supplies in Roosevelt, Utah and active in the NPI registry since May 2007. The organization lists Brent H Hales, Cfo, as its authorized official.

NPPES Registry Identity

NPI1740482009
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameNORTHEASTERN UTAH MEDICAL GROUP
Location Address210 W 300 NRoosevelt, UT 84066-2336
Mailing Address210 W 300 NRoosevelt, UT 84066-2336 · (435) 722-3971 · Fax (435) 722-6104
Phone(435) 722-3971
Fax(435) 722-6104
Organization SubpartNo
Authorized OfficialBrent H HalesCfo · (435) 722-6164
Enumeration DateMay 31, 2007
Last NPPES UpdateOctober 23, 2025
NPPES CertifiedOctober 23, 2025
✔ NPI 1740482009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
210 W 300 N, Roosevelt, UT 84066
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Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRYCE S PACE
Physician Assistant
210 W 300 N
ROOSEVELT, UT 84066
Duchesne County (435) 722-4691
CASEY CURTIS CARTER
Physician Assistant
210 W 300 N
ROOSEVELT, UT 84066
Duchesne County (435) 722-4691
CAROL F RASMUSSEN NP
Nurse Practitioner
210 W 300 N
ROOSEVELT, UT 84066
Duchesne County (435) 722-6163
GREGORY GARNER PT, DPT
Physical Therapist
210 W 300 N
ROOSEVELT, UT 84066
Duchesne County (435) 722-4691
BRIAN KOWALLIS GARDNER DPM
Podiatrist (Foot & Ankle Surgery)
210 W 300 N
ROOSEVELT, UT 84066
Duchesne County (435) 722-6163
DR. BEN DOUGLAS WILLIAMS MD
Obstetrics & Gynecology
210 W 300 N
ROOSEVELT, UT 84066
Duchesne County (435) 722-3971
SAMUEL M. WILSON DO
Dermatology
210 W 300 N
ROOSEVELT, UT 84066
Duchesne County (435) 722-4691
DR. JAMES LAMOYNE POTTER DO
Anesthesiology
210 W 300 N
ROOSEVELT, UT 84066
Duchesne County (435) 722-4691

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northeastern Utah Medical Group's NPI number?

The NPI number for Northeastern Utah Medical Group is 1740482009. It was assigned to this organization in the NPPES registry on May 31, 2007.

Where is Northeastern Utah Medical Group located?

Northeastern Utah Medical Group is located at 210 W 300 N, Roosevelt, UT 84066. The listed phone number is (435) 722-3971.

What is Northeastern Utah Medical Group's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Northeastern Utah Medical Group was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.