Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic | |
Primary Care |
261QP2300X |
| NPI # | 1336136969 |
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| LBN Legal business name | BEAVER MEDICAL, LLC | ||||
| Authorized official | JULIE CHRISTENSEN - (OFFICE MANAGER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 09/29/2005 | ||||
| Last updated | 02/18/2026 - About 4 months ago | ||||
| Identifiers |
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