Organization
MOAB VALLEY HEALTHCARE INC
Active
Organization
MOAB VALLEY HEALTHCARE INC
Active
Parent organization
MOAB VALLEY HEALTHCARE INC
Other names
Moab Regional Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOAB VALLEY HEALTHCARE INC
Authorized official
MS. JENNIFER JO SAFOFF (CHIEF EXECUTIVE OFFICER)
(435) 719-3514
Entity
Organization
Contact information
Practice address
450 WILLIAMS WAY, MOAB, UT 84532
(435) 719-3538
(435) 719-3549
Mailing address
PO BOX 998, 450 WILLIAMS WAY, MOAB, UT 84532
(435) 719-3501
(435) 719-3509
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
2085B0100X
Body Imaging Physician
—
—
208600000X
Surgery Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870391981011
—
UT
Enumeration date
01/31/2006
Last updated
02/23/2017
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