BEAVER VALLEY HOSPITAL
Skilled Nursing Facility
Salt Lake City, Utah
Provider NPI: 1902130222
Organization Information:Organization Name: BEAVER VALLEY HOSPITAL
Practice Location:
2200 EAST 3300 SOUTH SALT LAKE CITY, UT 84109 US
Tel: 801-486-2096 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:
2200 EAST 3300 SOUTH SALT LAKE CITY, UT 84109 US
Tel: 801-486-2096 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | ||
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | UT | 2014-NCF-92486 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
800478407001 | UT | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin