NPIMap

Moab Free Health Clinic

Organization Active NPI Voluntary or Charitable Agency · Moab, UT

NPI 1952017311 · NPPES record last updated Jan 27, 2023

Key facts

NPI
1952017311
Entity type
Organization (NPI type 2)
Primary specialty
Voluntary or Charitable Agency 251V00000X
Legal business name
MOAB FREE HEALTH CLINIC
Practice address
121 W 200 S Ste a
Moab, UT 84532-2534
Phone
(435) 259-1113
Fax
(435) 259-1120
NPI assigned
Jan 27, 2023
Organization subpart
No

Authorized official

Name
Douglas Earl Caylor, RN NPI 1104692359
Title
Executive Director
Phone
(435) 259-1113

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 3

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

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2055070Moab Free Health Clinic
121 W 200 S, Suite a, Moab, UT 84532		Certificate of waiverMar 4, 2027

National Provider Directory

Locations

121 W 200 S
Ste A
Moab, UT 84532
Phone (435) 259-1113

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17164/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Yes

Addresses

Primary practice location

121 W 200 S Ste a
Moab, UT 84532-2534

Mailing address

121 W 200 S Ste a
Moab, UT 84532-2534
Phone (435) 259-1113

Other providers in Moab, UT

All providers in Moab, UT · Voluntary or Charitable Agency in Utah

Sources for this page

Verify at the official NPI Registry.