Grand County Wellness Center, NPI 1164586954
Primary Care Clinic/Center in Moab, UT, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1164586954
NPI Entity Type Organization
Provider Name Grand County Wellness Center
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 255 Williams Way, Moab, UT, US
Provider Mailing Address 255 Williams Way, Moab, UT, US, 84532
Is Sole Proprietor? No
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Organization Official

Official Name M.D. Ray Allen Andrew
Official Position OWNER
Phone 435-259-4466

Primary Taxonomy

Taxonomy Code

261QP2300X

Taxonomy Name Primary Care Clinic/Center
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

Description Definition to come...

Business Address

Grand County Wellness Center
255 Williams Way

Moab, UT, US

Phone: 435-259-4466
Fax: 435-259-4467

Mailing Address

Grand County Wellness Center
255 Williams Way
Moab, UT, US
ZIP 84532
Phone: 435-259-4466
Fax: 435-259-4467

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
5141202-1205 UT STATE LICENSE NUMBER 01
BA7037799 UT DEA # 01

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1902227101

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Alexis Suzanne Goodwin

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Bountiful, UT

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