Beaver Valley Hospital
Organization Active NPI General Acute Care Hospital · Beaver, UT
NPI 1528066875 · NPPES record last updated May 18, 2017
Key facts
- NPI
- 1528066875
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 2004-HOSP-167 (UT)
- Legal business name
- BEAVER VALLEY HOSPITAL
- Practice address
- 1109 N 100TH W
Beaver, UT 84713-1670 - Phone
- (435) 438-7100
- Fax
- (435) 438-7166
- NPI assigned
- Jul 11, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Craig Val Davidson
- Title
- Administrator
- Phone
- (438) 438-7100
Other NPIs on the same Medicare enrollment 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040927000930 | UT | Part B Supplier - Clinic/Group Practice | 2769376326 |
Receives reassigned benefits from 8 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Beaver, UT |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 2006-HOSP-167 | UT | |
| General Acute Care Hospital | 282N00000X | 2004-HOSP-167 | UT | Yes |
Addresses
Primary practice location
1109 N 100TH W
Beaver, UT 84713-1670
Mailing address
PO Box 1670
1109 N 100 W
Beaver, UT 84713-1670
Phone (435) 438-7100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000006972 | Other | UT | PART B LEGACY OR PTAN # |
Other providers in Beaver, UT
- Beaver Fire Service District 1
- Beaver Medical, LLC
- Beaver Valley Hospital
- Beaver Valley Hospital
- Beaver Valley Hospital
- Beaver Valley Hospital
- Beaver Valley Pharmacy Services Inc
- Haily J Carter
- Lindsay Ann Cheney
- Doris Gale Cowan
All providers in Beaver, UT · General Acute Care Hospital in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.