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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 Facility2006-NCF-482UT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952416679
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 : 801-397-4054
Provider Business Practice Location Address
First Line : 1480 N 400 E
Second Line :
City : LOGAN
State : UT
Zip : 84341-7525
Country : US
Telephone Number : 435-750-5501
Fax Number : 435-750-7031
Authorized Official
Title or Position : BOARD PRESIDENT
Name : TROY THOMPSON
Credential :
Telephone Number : 801-397-4697
Provider Enumeration Date : 08/20/2006
Last Update Date : 01/10/2022

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Directions to “BEAVER VALLEY HOSPITAL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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