BEAVER VALLEY HOSPITAL (NPI# 1154629350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154629350 |
| Entity Type | Organization |
| Organization Name | BEAVER VALLEY HOSPITAL |
| Other Organization Name | PARKDALE HEALTH & REHAB |
| Practice Address |
250 East 600 North Price UT 84501 |
| Practice Telephone | 4356372621 |
| Practice Fax Number | 4356378979 |
| Mailing Telephone | 4356372621 |
| Mailing Fax Number | 4356378979 |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2015-05-11 |
| Authorized Official Name | CRAIG VAL DAVIDSON (CEO/ADMINISTRATOR) |
| Authorized Official Telephone | 4354387100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 275438015001 | 05 |
| Other Name | Type Code |
|---|---|
| PARKDALE 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 |
| 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 |
| 1598990699 | Beaver Valley Hospital | Skilled Nursing Facility | 4600 S. Highland Drive, Salt Lake City, UT 84117 | 2009-05-19 |
| 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 |
250 EAST 600 NORTH |
| City | PRICE |
| State | UT |
| Zip Code | 84501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699300079 | Kayleigh Maxfield | Case Manager/Care Coordinator | 77 S. 600 E., Price, UT 84501 | 2020-03-06 |
| 1174160071 | Kelli Fowles | Pharmacist | Smith's Food & Drug, 1075 E Main St, Price, UT 84501 | 2019-12-10 |
| 1225683733 | Zachary Kreek | Registered Nurse | 77 South 600 East Suite C, Price, UT 84501 | 2019-08-02 |
| 1578036547 | Boni Lee Taylor | Counselor | 445 North Carbonville Road, Price, UT 84501 | 2019-01-02 |
| 1023591310 | Center for Independent Living, Inc | Durable Medical Equipment & Medical Supplies | 2490 Mariner Square Loop, Suite 210, Alameda, CA 84501 | 2018-09-12 |
| 1023500360 | Dkmcomber Clinical Services | Nurse Practitioner | 590 E 100 N Ste 7, Price, UT 84501 | 2018-06-02 |
| 1326569245 | Castleview Physician Practice, LLC | Internal Medicine | 317 East 100 North, Price, UT 84501 | 2017-06-30 |
| 1255783874 | Cacilia Jensen | Case Manager/Care Coordinator | 105 W. 100 N., Price, UT 84501 | 2016-07-07 |
| 1801133905 | Joseph Micah Woodard | Counselor | 575 E. 100 S., Price, UT 84501 | 2013-01-09 |
| 1447513221 | Eugene Douglas Larsen Jr. | Internal Medicine | 280 N Hospital Dr Ste 4, Price, UT 84501 | 2012-06-18 |
| Find all providers in zip 84501 | ||||
| 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 |
|---|---|---|---|---|
| 1023017340 | Parkdale Care Center, Inc. | Skilled Nursing Facility | 250 E 600 N, Price, UT 84501-2126 | 2005-07-19 |
| 1336692698 | Beaver Valley Hospital | Skilled Nursing Facility | 1340 E 300 N, Price, UT 84501-2707 | 2016-08-03 |
| 1073846481 | Price Healthcare, Inc. | Skilled Nursing Facility | 1340 E 300 N, Price, UT 84501-2707 | 2009-09-16 |
| 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 | ||||
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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.