Grand County Wellness Center

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

GRAND COUNTY WELLNESS CENTER

Practice address

255 Williams Way
Moab, UT 84532-2370

Phone

(435) 259-4466

Fax

(435) 259-4467

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Ray Allen Andrew, M.D.NPI 1093804809

Title

Owner

Phone

(435) 259-4466

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

• Ray Allen Andrew, M.D.

  • Family Medicine Physician
  • Moab, UT
  • NPI 1093804809
  NPD (past) Authorized official

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1164586954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 WILLIAMS WAY",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "84532",
            "telephone_number": "435-259-4466",
            "fax_number": "435-259-4467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 WILLIAMS WAY",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "845322370",
            "telephone_number": "435-259-4466",
            "fax_number": "435-259-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND COUNTY WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ANDREW",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-259-4466",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "5141202-1205",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Eva Godwin, CMHC
• Leslie Van Goldtooth
• Gregory J Gorman, DMD
• Grand County Emergency Medical Services Special Service District
• Grand County School District
• Grand Junction Vamc
• Robert Isadore Greenberg, LMHC
• Grounded Healing Therapy
• Jacquelin Hahn, LCSW
• Kimberly Hansen

• All providers in Moab, UT
• Primary Care Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.