NPIMap

Organization Active NPI

Beaver Valley Hospital

  • Critical Access Hospital
  • Beaver, UT
National Provider Identifier
1174979108
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
2018-HOSP-167 Issued in UT
Legal business name
BEAVER VALLEY HOSPITAL
Practice address
1109 N. 100 W.
Beaver, UT 84713-1670
Phone
(435) 438-7100
Fax
(435) 438-7148
NPI assigned
May 9, 2016
Last updated
May 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2018

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

Authorized official

Name
Mr. Scott Langford, CEONPI 1003802836
Title
Administrator
Phone
(435) 438-7101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 2018-HOSP-167 UT Primary

Addresses

Primary practice location

1109 N. 100 W.
Beaver, UT 84713-1670

Mailing address

PO Box 1670
Beaver, UT 84713-1670
Phone (435) 438-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160525000523 UT Part A Provider - Critical Access Hospital 2769376326 Receives reassigned benefits from 15 practitioners
Practice locations: Beaver, UT
O20160628000720 UT Part A Provider - Critical Access Hospital 2769376326 Practice locations: Beaver, UT

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1174979108. Details of each certification follow.

Hospital certification: CCN 461335

Legal name
BEAVER VALLEY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Aug 11, 2016
Last certification
Jun 15, 2021
Beds
25
Ownership / control type
Local
Organization structure
GovernmentNon-profit
Enrollment address
1109 N 100 W
Beaver, UT 84713-7746

Hospital certification: CCN 46Z335

Legal name
BEAVER VALLEY HOSPITAL
Organization structure
OtherNon-profit
Enrollment address
1109 N 100 W
Beaver, UT 84713-7746

Care Compare: Hospital

Medicare Care Compare
Listed as
Beaver Valley HospitalCCN 461335 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Parowan Medical Clinic82 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Beaver City Corporation Organization, Beaver, UT Corporation 5% Or Greater Direct Ownership Interest Jan 1, 1966 100%
5% Or Greater Direct Ownership Interest Jul 1, 1966 100%
Scott a Langford Individual Corporate OfficerCeo/Administrator Jul 1, 2017
W-2 Managing EmployeeCeo/Administrator Jul 1, 2017

All facility ownership & control disclosures 32

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Red Cliffs Health and RehabSt George, UT, CCN 465137 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Sep 18, 2018
Sep 18, 2018
Sandy Health and RehabSandy, UT, CCN 465111 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Feb 1, 2015
Sep 18, 2028
Four Corners Regional Care CenterBlanding, UT, CCN 465057 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2015
Parkdale Health and RehabPrice, UT, CCN 465102 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Indirect Ownership Interest (100%)		 Feb 1, 2015
Sep 18, 2028
Sep 18, 2018
Spring Creek Healthcare CenterSalt Lake City, UT, CCN 465049 Skilled nursing facility Operational/Managerial Control
Direct Ownership Interest (100%)		 Sep 18, 2018
Sep 18, 2018
South Ogden Post AcuteOgden, UT, CCN 465117 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Nov 1, 2015
Aug 29, 2025
Meadowbrook Rehabilitation and NursingSalt Lake City, UT, CCN 465158 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2015
Spanish Fork Rehabilitation and NursingSpanish Fork, UT, CCN 465183 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Nov 1, 2015
Nov 1, 2015
Millcreek Rehabilitation and NursingSalt Lake City, UT, CCN 465185 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2015
Cedar Health and RehabilitationCedar City, UT, CCN 465143 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2019
Bella Terra St GeorgeSt George, UT, CCN 465152 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Feb 2, 2016
Feb 2, 2016
City Creek Post AcuteSalt Lake City, UT, CCN 465072 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2016
Hurricane Health and RehabilitationHurricane, UT, CCN 465101 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2016
Orem Rehabilitation and Nursing CenterOrem, UT, CCN 465104 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2016
Paramount Health and RehabilitationSalt Lake City, UT, CCN 465100 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2016
Pinnacle Nursing and Rehabilitation CenterPrice, UT, CCN 465098 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2016
Provo Rehabilitation and NursingProvo, UT, CCN 465119 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2016
Copper Ridge Health CareWest Jordan, UT, CCN 465108 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2016
Draper Rehabilitation and Care CenterDraper, UT, CCN 465091 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2016
St Joseph VillaSalt Lake City, UT, CCN 465095 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2016
Mt. Ogden Health and Rehabilitation CenterWashington Terrace, UT, CCN 465069 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2016
Holladay Healthcare CenterSalt Lake City, UT, CCN 465109 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2016
Cascades at Orchard ParkOrem, UT, CCN 465090 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Jul 19, 2016
Sep 18, 2028
St George RehabilitationSt George, UT, CCN 465064 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2016
Crestwood Rehabilitation and NursingOgden, UT, CCN 465083 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2016
Cascades at RiverwalkMidvale, UT, CCN 465184 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Sep 18, 2018
Jul 1, 2017
Sep 18, 2018
Highland Care CenterHolladay, UT, CCN 465078 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 29, 2017
Heritage Park Healthcare and RehabilitationRoy, UT, CCN 465003 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2017
Pointe Meadows Health and RehabilitationLehi, UT, CCN 465188 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 2, 2019
The Terrace TransitionalOgden, UT, CCN 465115 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2019
Alpine Meadow Rehabilitation and NursingWest Valley City, UT, CCN 465191 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Jul 19, 2016
Jul 19, 2016
Monument Healthcare MillcreekMillcreek, UT, CCN 465139 Skilled nursing facility Operational/Managerial Control Dec 6, 2024

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

Affiliated clinicians 27

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525737600000",
    "number": "1174979108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1670",
            "city": "BEAVER",
            "state": "UT",
            "postal_code": "847131670",
            "telephone_number": "435-438-7100",
            "fax_number": "435-438-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 N. 100 W.",
            "city": "BEAVER",
            "state": "UT",
            "postal_code": "847131670",
            "telephone_number": "435-438-7100",
            "fax_number": "435-438-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVER VALLEY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2018-05-08",
        "status": "A",
        "authorized_official_last_name": "LANGFORD",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "435-438-7101",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "UT",
            "license": "2018-HOSP-167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, UT

Sources for this page

Verify at the official NPI Registry.