Healthcare Provider Details

I. General information

NPI: 1164362265
Provider Name (Legal Business Name): BEAVER VALLEY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 S PROFESSIONAL WAY
PAYSON UT
84651-5637
US

IV. Provider business mailing address

55 S PROFESSIONAL WAY
PAYSON UT
84651-5637
US

V. Phone/Fax

Practice location:
  • Phone: 801-465-9211
  • Fax: 801-465-1052
Mailing address:
  • Phone: 801-465-9211
  • Fax: 801-465-1052

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: TYLER MOSS
Title or Position: CFO
Credential:
Phone: 435-438-7209