BEAVER VALLEY HOSPITAL
Skilled Nursing Facility
Logan, Utah
Provider NPI: 1952416679
Organization Information:Organization Name: BEAVER VALLEY HOSPITAL
Practice Location:
1480 N 400 E LOGAN, UT 84341 US
Tel: 435-750-5501 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1480 N 400 E LOGAN, UT 84341 US
Tel: 435-750-5501 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | UT | 2006-NCF-482 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
870470782031 | UT | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin