Healthcare Provider Details

I. General information

NPI: 1942650148
Provider Name (Legal Business Name): BEAVER VALLEY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2016
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 S REDWOOD RD
WEST VALLEY CITY UT
84119-2215
US

IV. Provider business mailing address

2520 S REDWOOD RD
WEST VALLEY CITY UT
84119-2215
US

V. Phone/Fax

Practice location:
  • Phone: 801-972-1050
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: WALTER E MYERS
Title or Position: OPERATING MANAGER
Credential:
Phone: 801-709-4358