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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 Facility

General Provider Information

NPI Number : 1962923227
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEAVER VALLEY HOSPITAL
Provider Business Mailing Address
First Line : 206 N 2100 W
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84116-4740
Country : US
Telephone Number : 801-596-8844
Fax Number : 801-596-9001
Provider Business Practice Location Address
First Line : 3855 S 700 E
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84106-1157
Country : US
Telephone Number : 801-268-4766
Fax Number : 801-268-4893
Authorized Official
Title or Position : SENIOR VICE PRESIDENT
Name : FAYE LINCOLN
Credential :
Telephone Number : 801-596-8844
Provider Enumeration Date : 06/27/2017
Last Update Date : 06/27/2017

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Directions to “BEAVER VALLEY HOSPITAL ” Practice Location

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