Northeastern Utah Medical Group
Durable Medical Equipment & Medical Supplies
210 W 300 N, Roosevelt
Utah, 84066-2336
435-722-3971 435-722-6104
Northeastern Utah Medical Group is a Durable Medical Equipment & Medical Supplies in Roosevelt, Utah. It is located at 210 W 300 N, Roosevelt and it's customer support contact number is 435-722-3971. The authorized person of Northeastern Utah Medical Group is Brent H Hales who is Cfo of this DME and his contact number is 435-722-6164. Northeastern Utah Medical Group accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Northeastern Utah Medical Group is 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.
DME Supplier Details:
Northeastern Utah Medical Group type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Northeastern Utah Medical Group |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 210 W 300 N, Roosevelt,
Utah, 84066-2336 |
| Phone: | 435-722-3971 |
| Fax: | 435-722-6104 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Brent H Hales |
| Position: | Cfo |
| Contact Number: | 435-722-6164 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1740482009 |
| NPI Enumeration Date: | 31 May, 2007 |
| NPI Last Update On: | 23 Oct, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Northeastern Utah Medical Group are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
Medicare Enrollment:
Northeastern Utah Medical Group is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 2961496609 | O20100930019874 | Northeastern Utah Medical Group | DME SUPPLIER - PHYSICIAN - GENERAL SURGERY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 210 W 300 N,
Roosevelt, Utah |
| Zip: | 84066-2336 |
| Phone Number: | 435-722-3971 |
| Fax Number: | 435-722-6104 |
Patients can reach Northeastern Utah Medical Group at
210 W 300 N, Roosevelt, Utah or can
call on customer care at 435-722-3971.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.