Tiffany Fay, STUDENT AND HEALTH

Individual provider Active NPI Case Manager/Care Coordinator · Moab, UT

NPI 1730201401 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1730201401
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
198 East Center Street
Moab, UT 84532
Phone
(435) 259-8432
Fax
(435) 259-5369
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Four Corners Community Behavioral Health, Inc. Past
since Dec 7, 2013
Accepting new patients
Four Corners Community Behavioral Health Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

198 East Center Street
Moab, UT 84532

Mailing address

PO Box 867
105 East 100 South
Price, UT 84526
Phone (435) 637-7200

Other providers in Moab, UT

All providers in Moab, UT · Case Manager/Care Coordinator in Utah

Sources for this page

Verify at the official NPI Registry.