Organization Active NPI

Beaver Valley Hospital

Doing business as Maple Ridge Rehabilitaion and Nursing

  • Nursing Facility/Intermediate Care Facility
  • Salt Lake City, UT
National Provider Identifier
1720328529
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
BEAVER VALLEY HOSPITAL
Doing business as
Maple Ridge Rehabilitaion and Nursing
Practice address
455 S 900 E
Salt Lake City, UT 84102-2933
Phone
(801) 363-6340
Fax
(801) 359-8533
NPI assigned
Feb 15, 2013
Last updated
Aug 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Authorized official

Name
Mr. Walter Eric Myers
Title
Owner/Manager
Phone
(801) 709-4358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X Primary

Addresses

Primary practice location

455 S 900 E
Salt Lake City, UT 84102-2933

Mailing address

455 S 900 E
Salt Lake City, UT 84102-2933
Phone (801) 355-6891

Other names 1

  • Maple Ridge Rehabilitaion and Nursing Doing business as

National Provider Directory

National Provider Directory

Locations

455 S 900 E
Salt Lake City, UT 84102
Phone (801) 355-6891

NPI Registry JSON

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

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1720328529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 S 900 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022933",
            "telephone_number": "801-355-6891",
            "fax_number": "801-359-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 S 900 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022933",
            "telephone_number": "801-363-6340",
            "fax_number": "801-359-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVER VALLEY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-15",
        "last_updated": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "801-709-4358",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maple Ridge Rehabilitaion and Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.