BESSA, INC


Address: 384 North 100 West #74-6, Roosevelt, UT 84066
Phone: 4357225056

BESSA, INC (NPI# 1598871337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598871337
Entity Type Organization
Organization Name BESSA, INC
Other Organization Name UINTAH BASIN DIALYSIS CENTER
Practice Address 384 North 100 West #74-6
Roosevelt
UT 84066
Mailing Address 384 North 100 West (74-6)
Roosevelt
UT 84066
Practice Telephone 4357225056
Practice Fax Number 4357220779
Mailing Telephone 4357225056
Mailing Fax Number 4357220779
Enumeration Date 2006-08-22
Last Update Date 2020-08-22
Authorized Official Name MR. EDWIN C BULLOCH (ADMINISTRATOR)
Authorized Official Telephone 4357225056
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QE0700X Clinic/Center
Specialization: End-Stage Renal Disease (ESRD) Treatment
2005-ESRD-229 UT Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
UT BLUE CROSS BLUE SHIELD PR 87035602601001 01
UT 870356026005 05

Other Provider/Organization Names

Other Name Type Code
Uintah Basin Dialysis Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1477692119 Bessa, Inc Clinic/Center 209 N 300 W, Vernal, UT 84078-1927 2007-02-06

Office Location

Street Address 384 NORTH 100 WEST #74-6
City ROOSEVELT
State UT
Zip Code 84066

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477075315 Annemarie Rousseau Registered Nurse 250 West 300 North, Roosevelt, UT 84066 2017-07-12
1780036772 Drew Gilley Dentist 375 E Lagoon St, Roosevelt, Ut 84066, Roosevelt, UT 84066 2016-07-01
1952758039 Amanda Adams Massage Therapist 1151 East Hwy 40, Ballard, UT 84066 2016-05-19
1447624325 Gregory George Page Dentist 209 West 200 North 71-2, Roosevelt, UT 84066 2015-11-16
1659785772 Becky Ann Birch Nurse Practitioner 200 West 350 North, Ste 103, Roosevelt, UT 84066 2014-06-17
1760724280 Novo Ranch LLC Residential Treatment Facility, Emotionally Disturbed Children 3549 W 1000 North, Roosevelt, UT 84066 2013-03-22
1508110040 Uintah Basin Spine and Disc Center, PC Rehabilitation Unit 1151 East Highway 40, Roosevelt, UT 84066 2012-11-06
1184918682 Alvaro Beltran Dentist Ave. Lopez Mateos 171-4, Nogales, SONORA 84066 2011-06-02
1255638367 Cosme Cantu Dentist Blvd. El Greco #45 Int. J-14, Nogales, SONORA 84066 2011-02-25
1740482009 Northeastern Utah Medical Group Durable Medical Equipment & Medical Supplies 210 W 300 N 75 3, Roosevelt, UT 84066 2007-05-31
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922280007 Uintah Basin Medical Center, Inc Clinic/Center 250 W 300 N, Roosevelt, UT 84066-2336 2007-11-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710587571 Bmh Kidney Care LLC Clinic/Center 802 S 200 W Ste B, Blanding, UT 84511-3910 2020-10-29
1053956391 Hegan Dialysis, LLC Clinic/Center 490 S State St, Orem, UT 84058-6302 2019-11-11
1811554124 Pomme Dialysis, LLC Clinic/Center 1250 W Sandalwood Dr, Lehi, UT 84043-4615 2019-05-22
1992223556 Wakonda Dialysis LLC Clinic/Center 555 W State Road 164 Ste 101, Salem, UT 84653-5732 2017-09-05
1831627223 Fresenius Medical Care Provo, LLC Clinic/Center 135 South Orem Blvd, Ste 101, Orem, UT 84058-3006 2017-05-30
1407394463 Fresenius Medical Care Pleasant View, LLC Clinic/Center 1735 West 2700 North, Farr West, UT 84404-1208 2017-02-09
1356897961 Fresenius Medical Care Utah, LLC Clinic/Center 4101 W Pioneer Pkwy, Suite 101, West Valley City, UT 84120-2050 2016-09-01
1770951030 Liberty Dialysis-weber County, LLC Clinic/Center 475 East 40th St, Suite 110, South Ogden, UT 84403-1852 2015-09-03
1558746727 Fresenius Medical Care Riverton, LLC Clinic/Center 12523 South Meadow Creek Drive, Riverton, UT 84065-7259 2015-07-29
1093199135 Fresenius Medical Care Cedar City, LLC Clinic/Center 1320 North Main Street, Cedar City, UT 84721 2015-07-18
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Competitor

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City ROOSEVELT
Zip Code 84066

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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