Moab Valley Healthcare, Inc.
Organization Active NPI Institutional Pharmacy · Moab, UT
NPI 1922160043 · NPPES record last updated Jan 7, 2025
Key facts
- NPI
- 1922160043
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Institutional Pharmacy 3336I0012X
- License
- 78471171704 (UT)
- Legal business name
- MOAB VALLEY HEALTHCARE, INC.
- Practice address
- 450 Williams Way
Moab, UT 84532-2065 - Phone
- (435) 719-3650
- NPI assigned
- Dec 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Jeremy Olsen, PHARMD
- Title
- Director of Pharmacy
- Phone
- (435) 719-3650
Subparts reporting this organization as parent 5
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Moab Valley Healthcare Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Institutional Pharmacy | 3336I0012X | 78471171704 | UT | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2100681 | Other | PK |
Other names
- MOAB REGIONAL HOSPITAL
Other providers in Moab, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.