Healthcare Provider Details

I. General information

NPI: 1710217773
Provider Name (Legal Business Name): BEAVER VALLEY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2010
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

835 E VINE ST
MURRAY UT
84107-6515
US

IV. Provider business mailing address

598 W 900 S STE 220
WOODS CROSS UT
84010-8195
US

V. Phone/Fax

Practice location:
  • Phone: 801-693-3800
  • Fax: 801-264-1912
Mailing address:
  • Phone: 801-397-4697
  • Fax: 801-296-9117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: KELLY SNOWBALL
Title or Position: GOVERNING BODY CHAIR
Credential:
Phone: 801-397-4000