NPIMap

Organization Active NPI

Moab Valley Healthcare, Inc.

Doing business as Moab Regional Health Clinic

  • Rural Health Clinic/Center
  • Moab, UT
National Provider Identifier
1114514601
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MOAB VALLEY HEALTHCARE, INC.
Doing business as
Moab Regional Health Clinic
Moab Regional Hospital
Practice address
476 Williams Way
Moab, UT 84532-2186
Phone
(435) 719-5550
NPI assigned
Dec 30, 2020
Last updated
Dec 30, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
MOAB VALLEY HEALTHCARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Authorized official

Name
Cayla Milhon
Title
Medical Staff Coordinator
Phone
(435) 719-3510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

476 Williams Way
Moab, UT 84532-2186

Mailing address

476 Williams Way
Moab, UT 84532-2186
Phone (435) 719-5550

Other names 2

  • Moab Regional Health Clinic Doing business as
  • Moab Regional Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Moab Valley Healthcare Inc3 organizations share this tax ID, including this one
Part of
Moab Valley Healthcare Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

476 W Williams Way
Moab, UT 84532
Phone (435) 719-3500

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609286400000",
    "number": "1114514601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 WILLIAMS WAY",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "845322186",
            "telephone_number": "435-719-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 WILLIAMS WAY",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "845322186",
            "telephone_number": "435-719-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOAB VALLEY HEALTHCARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOAB VALLEY HEALTHCARE, INC.",
        "enumeration_date": "2020-12-30",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-23",
        "status": "A",
        "authorized_official_last_name": "MILHON",
        "authorized_official_first_name": "CAYLA",
        "authorized_official_title_or_position": "MEDICAL STAFF COORDINATOR",
        "authorized_official_telephone_number": "435-719-3510"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moab Regional Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Moab Regional Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 30, 2020; 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.