NPIMap

Organization Active NPI

Moab Medical Center Inc.

  • Clinic/Center
  • Moab, UT
National Provider Identifier
1013961226
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1767 Issued in UT
Legal business name
MOAB MEDICAL CENTER INC.
Practice address
380 North 500 West
Moab, UT 84532-2232
Phone
(435) 259-0408
Fax
(435) 259-0448
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Steven V Rouzer, MDNPI 1376590729
Title
Owner
Phone
(435) 259-0408

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1767 UT Primary

Addresses

Primary practice location

380 North 500 West
Moab, UT 84532-2232

Mailing address

380 North 500 West
Moab, UT 84532-2232
Phone (435) 259-0408

National Provider Directory

National Provider Directory

Locations

380 N 5th W
Moab, UT 84532
Phone (435) 259-0408

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1013961226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 NORTH 500 WEST",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "845322232",
            "telephone_number": "435-259-0408",
            "fax_number": "435-259-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 NORTH 500 WEST",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "845322232",
            "telephone_number": "435-259-0408",
            "fax_number": "435-259-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOAB MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "ROUZER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-259-0408",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "UT",
            "license": "1767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moab, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.