Healthcare Provider Details

I. General information

NPI: 1700499183
Provider Name (Legal Business Name): GRAB HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2020
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 W SOUTH JORDAN PKWY STE 450
SOUTH JORDAN UT
84095-3946
US

IV. Provider business mailing address

PO BOX 550
RIVERTON UT
84065-0550
US

V. Phone/Fax

Practice location:
  • Phone: 801-919-3008
  • Fax:
Mailing address:
  • Phone: 910-447-2263
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GREGORY A BAIRD
Title or Position: CEO
Credential: MD
Phone: 910-447-2263