Ray Andrew, Md, Pc | |
2700 S Highway 191 Ste 2 Moab UT 84532-3443 | |
(435) 259-4466 | |
(435) 259-4467 |
Full Name | Ray Andrew, Md, Pc |
---|---|
Speciality | Clinic/Center |
Location | 2700 S Highway 191 Ste 2, Moab, Utah |
Authorized Official Name and Position | Ray Allen Andrew (OWNER) |
Authorized Official Contact | 4352594466 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Ray Andrew, Md, Pc 2700 S Highway 191 Ste 2 Moab UT 84532-3443 Ph: (435) 259-4466 | Ray Andrew, Md, Pc 2700 S Highway 191 Ste 2 Moab UT 84532-3443 Ph: (435) 259-4466 |
NPI Number | 1922174705 |
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Provider Enumeration Date | 11/25/2006 |
Last Update Date | 03/07/2023 |
Medicare PECOS PAC ID | 1759326184 |
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Medicare Enrollment ID | O20050624001092 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922174705 | NPI | - | NPPES |
558752212-004 | Medicaid | UT | |
QM0000071700 | Other | UT | ALTIUS PROVIDER NUMBER |
5141202-1205 | Other | UT | STATE LICENSE NUMBER |
107012421102 | Other | UT | SELECT HEALTH PROVIDER # |
755227 | Other | UT | DMBA PROVIDER # |
51412021201001 | Other | UT | BLUE CROSS BLUE SHIELD |
68474 | Other | UT | PEHP PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 5160918-0144 (Utah) | Primary |
Provider Name | Ray A Andrew |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093804809 PECOS PAC ID: 6204871635 Enrollment ID: I20050624001091 |
Moab Medical Center Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 380 North 500 West, Moab, UT 84532 Phone: 435-259-0408 Fax: 435-259-0448 | |
Moab Valley Healthcare, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 476 Williams Way, Moab, UT 84532 Phone: 435-719-5550 | |
Grand County Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 Williams Way, Moab, UT 84532 Phone: 435-259-4466 Fax: 435-259-4467 | |
Imed Utah Heart Moab Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 719 W 4th N, Moab, UT 84532 Phone: 801-507-3500 | |
Moab Family Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 476 Williams Way, A, Moab, UT 84532 Phone: 435-259-7121 Fax: 435-259-3112 |