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Contact Information

BEAVER MEDICAL, LLC
1059 N 100 W
BEAVER, UT84713-1690
 Phone: 435-438-7280
 Fax: 435-438-7210
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rural Health

261QR1300X B4[14] Rural Health Clinic
 

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for BEAVER MEDICAL, LLC

NPI # 1770570202
LBN Legal business name BEAVER MEDICAL, LLC
Authorized official JULIE CHRISTENSEN - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/30/2005
Last updated 02/18/2026 - About 4 months ago
Identifiers
UT License # 47255720160
UT Other CG2421 PALMETTO RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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