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NPI Code Detail

MEDICARE: BEAVER VALLEY HOSPITAL

MEDICARE: BEAVER VALLEY HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility2005-NCF-442UT

General Provider Information

NPI Number : 1629075361
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEAVER VALLEY HOSPITAL
Provider Business Mailing Address
First Line : 598 W 900 S STE 220
Second Line :
City : WOODS CROSS
State : UT
Zip : 84010-8195
Country : US
Telephone Number : 801-397-4697
Fax Number : 801-296-9117
Provider Business Practice Location Address
First Line : 1481 E 1450 S
Second Line :
City : CLEARFIELD
State : UT
Zip : 84015-1610
Country : US
Telephone Number : 801-397-4300
Fax Number : 801-397-4390
Authorized Official
Title or Position : BOARD PRESIDENT
Name : DANNY SETJO
Credential :
Telephone Number : 801-397-4000
Provider Enumeration Date : 07/07/2005
Last Update Date : 01/04/2022

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Directions to “BEAVER VALLEY HOSPITAL ” Practice Location

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