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CAH461302-00 Moab Valley Healthcare, Inc. (Active)
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Main Details
Name
Moab Valley Healthcare, Inc.
Subdivision Name
dba Moab Regional Hospital
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH461302-00
Medicare Provider Number
461302
Additional Details
Current Program Status
Active
Registration Date
1/11/2013
Participating Start Date
4/1/2013
Participating Approval Date
1/22/2013
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Moab Regional Hospital
Jennifer Sadoff, CEO
(435) 719-3514 Ext: 3514
Primary Contact
Moab Regional Hospital
Jeremy Olsen, Pharmacist
(435) 719-3650
Addresses
Street Address
450 W. Williams Way
Moab, UT 84532
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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