NPIMap

Organization Active NPI

Moab Valley Healthcare, Inc.

Doing business as Moab Regional Hospital

  • Institutional Pharmacy
  • Moab, UT
National Provider Identifier
1922160043
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
78471171704 Issued in UT
Legal business name
MOAB VALLEY HEALTHCARE, INC.
Doing business as
Moab Regional Hospital
Practice address
450 Williams Way
Moab, UT 84532-2065
Phone
(435) 719-3650
NPI assigned
Dec 14, 2006
Last updated
Jan 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Authorized official

Name
Jeremy Olsen, PHARMD
Title
Director of Pharmacy
Phone
(435) 719-3650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X 78471171704 UT Primary

Addresses

Primary practice location

450 Williams Way
Moab, UT 84532-2065

Mailing address

450 Williams Way
Moab, UT 84532-2065
Phone (435) 719-3650

Other names 1

  • MOAB REGIONAL HOSPITAL Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amh Pro Fee Billing3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

Subparts reporting this organization as parent 5

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1922160043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 WILLIAMS WAY",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "845322065",
            "telephone_number": "435-719-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 WILLIAMS WAY",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "845322065",
            "telephone_number": "435-719-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOAB VALLEY HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "435-719-3650",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "UT",
            "license": "78471171704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "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 Jan 7, 2025; 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.