| Elevated Health Moab LLC | |
|
301 S 400 E Ste 104 Moab UT 84532-2653 | |
| (435) 260-8024 | |
| Not Available |
| Full Name | Elevated Health Moab LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 301 S 400 E Ste 104, Moab, Utah |
| Authorized Official Name and Position | Angela Alexander (PHYSICIAN OWNER) |
| Authorized Official Contact | 4352608024 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevated Health Moab LLC 301 S 400 E Ste 104 Moab UT 84532-2653 Ph: (443) 526-0802 | Elevated Health Moab LLC 301 S 400 E Ste 104 Moab UT 84532-2653 Ph: (435) 260-8024 |
| NPI Number | 1184575102 |
|---|---|
| Provider Enumeration Date | 02/05/2026 |
| Last Update Date | 03/24/2026 |
| Certification Date | 03/24/2026 |
| Medicare PECOS PAC ID | 7416422910 |
|---|---|
| Medicare Enrollment ID | O20260413001929 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184575102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Angela J Alexander |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093957714 PECOS PAC ID: 9032383906 Enrollment ID: I20111111000256 |
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