Organization
MOAB VALLEY HEALTHCARE, INC
Active
Parent organization
MOAB VALLEY HEALTHCARE, INC
Other names
Moab Regional Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOAB VALLEY HEALTHCARE, INC
Authorized official
MS. JENNIFER SADOFF (CEO)
(435) 719-3514
Entity
Organization
Contact information
Practice address
450 W WILLIAMS WAY, MOAB, UT 84532-2065
(435) 719-3501
(435) 719-3509
Mailing address
450 W WILLIAMS WAY, P.O.BOX 998, MOAB, UT 84532-0998
(435) 719-3501
(435) 719-3509
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
2006-HOSPICE-926
UT
282NC0060X
Critical Access Hospital
Primary
2005-HOSP-45117
UT
282NC2000X
Children's Hospital
—
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
461518
HOSPICE MEDICARE
UT
05
—
870391981011
—
UT
Enumeration date
07/03/2006
Last updated
12/12/2018
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