BEAVER VALLEY HOSPITAL (NPI# 1114447711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114447711 |
| Entity Type | Organization |
| Organization Name | BEAVER VALLEY HOSPITAL |
| Other Organization Name | WILLOW GLEN HEALTH & REHAB |
| Practice Address |
775 N 200 E Brigham City UT 84302-1303 |
| Mailing Address |
206 N 2100 W Salt Lake City UT 84116-4740 |
| Practice Telephone | 4357237777 |
| Practice Fax Number | 4357238773 |
| Mailing Telephone | 8015968844 |
| Mailing Fax Number | 8015969001 |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2017-06-26 |
| Authorized Official Name | FAYE LINCOLN (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 8015968844 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Willow Glen Health & Rehab | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962955237 | Beaver Valley Hospital | Skilled Nursing Facility | 4782 S Holladay Blvd, Salt Lake City, UT 84117-5444 | 2016-08-03 |
| 1649621707 | Beaver Valley Hospital | Skilled Nursing Facility | 12702 S Fort St, Draper, UT 84020-9755 | 2016-06-29 |
| 1174979108 | Beaver Valley Hospital | General Acute Care Hospital | 1109 N. 100 W., Beaver, UT 84713-1670 | 2016-05-09 |
| 1578939427 | Beaver Valley Hospital | Skilled Nursing Facility | 151 E Center St, Spanish Fork, UT 84660-2161 | 2015-08-14 |
| 1861878266 | Beaver Valley Hospital | Skilled Nursing Facility | 5540 S 1050 E, South Ogden, UT 84405-7078 | 2015-08-07 |
| 1215344163 | Beaver Valley Hospital | Skilled Nursing Facility | 1012 W Jordan River Blvd, Midvale, UT 84047 | 2014-07-11 |
| 1154629350 | Beaver Valley Hospital | Skilled Nursing Facility | 250 East 600 North, Price, UT 84501 | 2011-03-11 |
| 1548568744 | Beaver Valley Hospital | Skilled Nursing Facility | 50 East 9000 South, Sandy, UT 84070 | 2011-03-11 |
| 1063742021 | Beaver Valley Hospital | Skilled Nursing Facility | 3419 W 12600 S, Riverton, UT 84065-7265 | 2010-01-13 |
| 1902130222 | Beaver Valley Hospital | Skilled Nursing Facility | 2200 East 3300 South, Salt Lake City, UT 84109 | 2009-09-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BEAVER VALLEY HOSPITAL | 1109 N 100 W, Beaver, UT 84713-7746 |
| Street Address |
775 N 200 E |
| City | BRIGHAM CITY |
| State | UT |
| Zip Code | 84302-1303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326093469 | Peak Medical Utah No. 2, Inc. | Skilled Nursing Facility | 775 N 200 E, Brigham City, UT 84302-1303 | 2006-05-24 |
| 1922599950 | Gunnison Valley Hospital | Skilled Nursing Facility | 775 N 200 E, Brigham City, UT 84302-1303 | 2018-05-25 |
| 1992201784 | Floyd Horn | Physical Therapy Assistant | 775 N 200 E, Brigham City, UT 84302-1303 | 2018-04-02 |
| 1831695576 | Pamela Furniss | Occupational Therapy Assistant | 775 N 200 E, Brigham City, UT 84302-1303 | 2018-04-02 |
| 1790281418 | Tavin Deru | Occupational Therapist | 775 N 200 E, Brigham City, UT 84302-1303 | 2018-04-02 |
| 1487808366 | Willow Glen Health & Rehab, LLC | Skilled Nursing Facility | 775 N 200 E, Brigham City, UT 84302-1303 | 2008-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669945531 | Brandon Lee Allen | Counselor | 971 South 800 West, #104, Brigham City, UT 84302 | 2019-01-03 |
| 1104307495 | Tiffany Burnhope | Social Worker | 663 Parker Lane, Brigham City, UT 84302 | 2018-08-24 |
| 1558858464 | Michael Clark | Optometrist | 990 Medical Dr Ste G3, Brigham City, UT 84302 | 2018-04-16 |
| 1497273130 | Emily Marler | Counselor | 862 South Main Suite 4, Brigham City, UT 84302 | 2017-09-01 |
| 1003268731 | Tyler Beckstrand | Social Worker | 125 N Main Street, Brigham City, UT 84302 | 2016-07-06 |
| 1780030155 | Angela Stott | Case Manager/Care Coordinator | 160 E 800 S Apt. B216, Brigham City, UT 84302 | 2016-05-04 |
| 1699156802 | Christopher Jacobson | Family Medicine | 1050 Medical Dr, Brigham City, UT 84302 | 2015-06-12 |
| 1811377765 | Courtney Allred | Counselor | 863 S Main Street Suite 2, Brigham, UT 84302 | 2015-06-05 |
| 1235529579 | Belinda Castro | Counselor | 862 S Main Street Suite 2, Brigham City, UT 84302 | 2015-01-26 |
| 1760871818 | Ambryn Mccallson | Counselor | 862 S. Main, 4, Brigham City, UT 84302 | 2015-01-13 |
| Find all providers in zip 84302 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366598716 | Alpine Transitional Rehabilitation | Skilled Nursing Facility | 997 S 800 W, Brigham City, UT 84302-3042 | 2007-01-26 |
| 1326093469 | Peak Medical Utah No. 2, Inc. | Skilled Nursing Facility | 775 N 200 E, Brigham City, UT 84302-1303 | 2006-05-24 |
| 1588665236 | Avalon Care Center - Brigham City, L.L.C. | Skilled Nursing Facility | 815 S 200 W, Brigham City, UT 84302-3333 | 2005-08-03 |
| 1922599950 | Gunnison Valley Hospital | Skilled Nursing Facility | 775 N 200 E, Brigham City, UT 84302-1303 | 2018-05-25 |
| 1750872867 | Gunnison Valley Hospital | Skilled Nursing Facility | 815 S 200 W, Brigham City, UT 84302-3333 | 2018-05-24 |
| 1598286858 | Beaver Valley Hospital | Skilled Nursing Facility | 815 S 200 W, Brigham City, UT 84302-3333 | 2017-06-27 |
| 1487808366 | Willow Glen Health & Rehab, LLC | Skilled Nursing Facility | 775 N 200 E, Brigham City, UT 84302-1303 | 2008-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932672771 | Gunnison Valley Hospital | Skilled Nursing Facility | 163 E 1000 N, Richfield, UT 84701-1880 | 2019-01-04 |
| 1184118390 | Canyonlands Health Care Special Service District | Skilled Nursing Facility | 55 S Professional Way, Payson, UT 84651-5637 | 2018-06-20 |
| 1609306091 | Caremeridian, LLC | Skilled Nursing Facility | 13747 S Redwood Rd, Riverton, UT 84065-5710 | 2017-06-18 |
| 1841729225 | Ahc of St George LLC | Skilled Nursing Facility | 1934 E Riverside Dr, St George, UT 84790-8034 | 2017-06-08 |
| 1669904439 | Gunnison Valley Hospital | Skilled Nursing Facility | 25 E Alpine Drive, Pleasant Grove, UT 84062-3511 | 2017-03-31 |
| 1366997819 | Maple Springs Management, LLC | Skilled Nursing Facility | 350 East 2200 North, North Logan, UT 84341-1761 | 2016-08-24 |
| 1962955237 | Beaver Valley Hospital | Skilled Nursing Facility | 4782 S Holladay Blvd, Salt Lake City, UT 84117-5444 | 2016-08-03 |
| 1649621707 | Beaver Valley Hospital | Skilled Nursing Facility | 12702 S Fort St, Draper, UT 84020-9755 | 2016-06-29 |
| 1962851287 | Pointe Meadow Healthcare, Inc. | Skilled Nursing Facility | 2750 North Digital Drive, Lehi, UT 84043-6651 | 2016-06-07 |
| 1578939427 | Beaver Valley Hospital | Skilled Nursing Facility | 151 E Center St, Spanish Fork, UT 84660-2161 | 2015-08-14 |
| Find all providers with the same taxonomy | ||||
| City | BRIGHAM CITY |
| Zip Code | 84302 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.