BEAVER MEDICAL, LLC (NPI# 1558358184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558358184 |
| Entity Type | Organization |
| Organization Name | BEAVER MEDICAL, LLC |
| Other Organization Name | PAROWAN MEDICAL CLINIC |
| Practice Address |
450 East Clinic Way Parowan UT 84761-1690 |
| Mailing Address |
Po Box 1690 Beaver UT 84713-1690 |
| Practice Telephone | 4354773344 |
| Practice Fax Number | 4354773475 |
| Mailing Telephone | 4354387280 |
| Mailing Fax Number | 4354387210 |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2012-11-30 |
| Authorized Official Name | MRS. JULIE CHRISTENSEN (OFFICE MANAGER) |
| Authorized Official Telephone | 4354387280 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | CG2421 | 01 |
| Other Name | Type Code |
|---|---|
| Parowan Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336136969 | Beaver Medical, LLC | Clinic/Center | 850 N Main, Milford, UT 84751-0640 | 2005-09-29 |
| 1770570202 | Beaver Medical, LLC | Clinic/Center | 1059 N 100 W, Beaver, UT 84713-1690 | 2005-09-30 |
| Street Address |
450 EAST CLINIC WAY |
| City | PAROWAN |
| State | UT |
| Zip Code | 84761-1690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104395821 | Color Country Physical Therapy LLC | Clinic/Center | 450 E Clinic Way, Ste B, Parowan, UT 84761 | 2018-11-26 |
| 1346796133 | June Ds Angels Home Health Care | Home Health | 38 North 600 West, Parowan, UT 84761 | 2016-08-31 |
| 1104202068 | Evan Applegate | Physical Therapist | 450 E Clinic Way Ste B, Parowan, UT 84761 | 2015-08-03 |
| 1912339664 | Entrusted Care, LLC | In Home Supportive Care | 113 S 200 E, Parowan, UT 84761 | 2013-08-05 |
| 1457638587 | Bryce Canyon Academy of Utah, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 580 N Main, Parowan, UT 84761 | 2011-11-03 |
| 1447380589 | Ihc Health Services Inc | Family Medicine | 15 E 400 N, Parowan, UT 84761 | 2007-03-07 |
| 1447325352 | Gary W. Clark Dpm A Professional Corporation | Durable Medical Equipment & Medical Supplies | 450 E. Clinic Way, Parowan, UT 84761 | 2006-11-24 |
| 1720183288 | Terrance Marshall Cooper | Chiropractor | 313 West 200 South, Parowan, UT 84761 | 2006-09-13 |
| 1013939024 | Ellen F Gardner | Family Medicine | 200 South 4200 West, Parowan, UT 84761 | 2006-07-25 |
| 1922623388 | Jonathan James Hermansen | Physical Therapist | 450 E. Clinic Way, Suite B, Parowan, UT 84761 | 2020-06-11 |
| Find all providers in zip 84761 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992980866 | Donald Wain Allen | Clinic/Center | 228 West 200 South, Suite 2, Kamas, UT 84036-0159 | 2008-01-09 |
| 1558558627 | Robert L Smith Dc PC | Clinic/Center | 55 E Center St, Panguitch, UT 84759 | 2007-10-02 |
| 1649472796 | Garfield County | Clinic/Center | 110 S 100 E, Circleville, UT 84723 | 2007-06-01 |
| 1619179751 | Garfield County | Clinic/Center | 65 N Center, Escalante, UT 84726-0276 | 2007-06-01 |
| 1790987840 | Garfield County | Clinic/Center | 425 E State St, Orderville, UT 84758 | 2007-06-01 |
| 1013119155 | Garfield County | Clinic/Center | 25 S Redrock Dr, Cannonville, UT 84718-8001 | 2007-06-01 |
| 1659402774 | Mountain Utah Family Medicine | Clinic/Center | 850 North Main St, Ste 3, Richfield, UT 84701-1848 | 2007-03-08 |
| 1043845365 | C & B Family Practice | Clinic/Center | 4601 N 16750 W, Altonah, UT 84002-0332 | 2020-03-06 |
| 1871834960 | Ashley Valley Physician Practice LLC | Clinic/Center | 409 S 200 E, Roosevelt, UT 84066-3314 | 2013-03-14 |
| 1720379936 | Gregory Iverson Family Medicine Pllc | Clinic/Center | 142 South 50 East, Coalville, UT 84017-0865 | 2011-04-21 |
| Find all providers with the same taxonomy | ||||
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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.