Beaver Valley Hospital

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2016NCFUT0079 Issued in UT

Legal business name

BEAVER VALLEY HOSPITAL

Doing business as

South Davis Community Care Center

Practice address

401 South 400 East
Bountiful, UT 84010-4933

Phone

(801) 295-2361

Fax

(801) 295-1398

NPI assigned

Jun 14, 2006

Last updated

Apr 18, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Michelle Brown

Title

Director of Finance and Accounting

Phone

(801) 397-8145

Specialties & licenses 1

Addresses

Other names 1

• South Davis Community Care Center Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Beaver Valley Hospital

  • Skilled Nursing Facility
  • St George, UT
  • NPI 1164881025

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1174566384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SOUTH 400 EAST",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104933",
            "telephone_number": "801-295-2361",
            "fax_number": "801-295-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SOUTH 400 EAST",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104933",
            "telephone_number": "801-295-2361",
            "fax_number": "801-295-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVER VALLEY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE AND ACCOUNTING",
        "authorized_official_telephone_number": "801-397-8145",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "UT",
            "license": "2016NCFUT0079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Davis Community Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha June Bateman
• Erin Leigh Batin, NP-C
• BBK, Inc. (Mountain States Hearing)
• Be Better Utah (Ellie Mental Health)
• Roxann Beauregard, OT, SLP
• Beaver Valley Hospital (North Canyon Care Center)
• Kalli Beckstrom
• Mark Daniel Beebe, MSN, APRN, FNP-C
• Scott J Beenfield, PA-C
• Daniel Maximillion Bell, RN, CRNA

• Skilled Nursing Facility in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Skilled Nursing Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.