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Contact Information

BEAVER VALLEY HOSPITAL
1012 W JORDAN RIVER BLVD
MIDVALE, UT84047
 Phone: 801-565-0800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for BEAVER VALLEY HOSPITAL

NPI Number 1215344163
LBN Legal business name BEAVER VALLEY HOSPITAL
Authorized official CHAD FULLMER - (MANAGING PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/11/2014
Last updated 07/31/2017 - About 9 years ago
Identifiers
UT Medicaid 461003359001
UT Other 2015-NCF UT000664 UTAH DEPT OF HEALTH
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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