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Contact Information

BEAVER VALLEY HOSPITAL
4600 S. HIGHLAND DRIVE
SALT LAKE CITY, UT84117
 Phone: 801-272-1892
 Fax: 801-284-2960
 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 # 1598990699
LBN Legal business name BEAVER VALLEY HOSPITAL
Authorized official CRAIG DAVIDSON - (CEO/ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/19/2009
Last updated 05/11/2015 - About 11 years ago
Identifiers
UT License # 2014-NCF-91199
UT Medicaid 364655230001
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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