BEAVER VALLEY HOSPITAL (NPI# 1427565480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427565480 |
| Entity Type | Organization |
| Organization Name | BEAVER VALLEY HOSPITAL |
| Other Organization Name | MT. OGDEN HEALTH AND REHABILITATION CENTER |
| Practice Address |
375 E 5350 S Washington Terrace UT 84405-6934 |
| Practice Telephone | 8014795700 |
| Practice Fax Number | 8014768913 |
| Mailing Telephone | 8014795700 |
| Mailing Fax Number | 8014768913 |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2017-12-29 |
| Authorized Official Name | SOON BURNAM (DELEGATED OFFICIAL) |
| Authorized Official Telephone | 9495401249 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mt. Ogden Health and Rehabilitation Center | 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 |
375 E 5350 S |
| City | WASHINGTON TERRACE |
| State | UT |
| Zip Code | 84405-6934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295768802 | Washington Heights Healthcare, Inc. | Skilled Nursing Facility | 375 E 5350 S, Washington Terrace, UT 84405-6934 | 2006-07-08 |
| 1912549015 | Jill Willis | Occupational Therapy Assistant | 375 E 5350 S, Washington Terrace, UT 84405-6934 | 2019-10-10 |
| 1730721838 | Carson Call | Physical Therapy Assistant | 375 E 5350 S, Washington Terrace, UT 84405-6934 | 2019-10-10 |
| 1962955229 | Beaver Valley Hospital | Skilled Nursing Facility | 375 E 5350 S, Washington Terrace, UT 84405-6934 | 2016-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669028171 | Alyssa House | Behavioral Analyst | 4933 1500 West #110, Riverdale, UT 84405 | 2019-08-12 |
| 1518525989 | Petersen Farms Assisted Living & Memory Care | Assisted Living Facility | 6980 S. 475 E., South Weber, UT 84405 | 2019-05-31 |
| 1376038141 | National Vision, Inc. | Technician/Technologist | 821 West Riverdale Road, Riverdale, UT 84405 | 2018-06-25 |
| 1194218461 | South Weber City | Ambulance | 7365 S 1375 E, South Weber, UT 84405 | 2018-06-12 |
| 1528572682 | Sandra Jo Scott | Dental Hygienist | 264 W Ridgeline Dr, Washington Terrace, UT 84405 | 2017-11-28 |
| 1376079061 | Loretta Shupe | Registered Nurse | 5319 S 500 E, Ogden, UT 84405 | 2017-05-02 |
| 1134661374 | Randy Ferrin | Registered Nurse | 5697 Maplewood Drive, South Ogden, UT 84405 | 2016-11-04 |
| 1871046284 | Karla Rosen | Counselor | 5202 S. Freeway Park Dr., Riverdale, UT 84405 | 2016-08-02 |
| 1053784520 | Jenifer Rebecca Nilson Smith | Physical Therapist | 5648 S. Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| 1972976454 | Jenniferlyn Fletcher | Physical Therapy Assistant | 5648 South Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| Find all providers in zip 84405 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344198 | Shannon Ballinger | Clinic/Center | 1470 400 W, Salt Lake City, UT 84115 | 2020-10-22 |
| 1487261707 | Precision Jointcare LLC | Clinic/Center | 12523 S Creek Meadow Rd Ste 109, Riverton, UT 84065-7299 | 2020-09-30 |
| 1184231664 | Mountain Strong Spine and Performance | Clinic/Center | 1478 N 4925 W, Plain City, UT 84404-8300 | 2020-09-28 |
| 1881215085 | Move Well Age Well, LLC | Clinic/Center | 2223 S Highland Dr Ste E6-256, Salt Lake City, UT 84106-3672 | 2020-04-29 |
| 1215557434 | Basin Therapy LLC | Clinic/Center | 101 E 1875 S, Roosevelt, UT 84066-3828 | 2020-04-17 |
| 1780222893 | Well Being Pelvic Physical Therapy | Clinic/Center | 111 E 5600 S Ste 222, Murray, UT 84107-8164 | 2019-12-19 |
| 1265094619 | Recalibrate Physical Therapy | Clinic/Center | 3450 S 400 E, Salt Lake City, UT 84115-4604 | 2019-07-06 |
| 1598229155 | Neurorev Pllc | Clinic/Center | 520 N Market Place Dr Ste 200, Centerville, UT 84014-4904 | 2019-01-29 |
| 1104395821 | Color Country Physical Therapy LLC | Clinic/Center | 450 E Clinic Way, Ste B, Parowan, UT 84761 | 2018-11-26 |
| 1629556055 | Advanced Balance and Physical Therapy LLC | Clinic/Center | 856 Sage Dr Ste 301b, Cedar City, UT 84720 | 2018-07-28 |
| Find all providers with the same taxonomy | ||||
| City | WASHINGTON TERRACE |
| Zip Code | 84405 |
Please comment or provide details below to improve the information on BEAVER VALLEY HOSPITAL.
| 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.