BEAVER VALLEY HOSPITAL (NPI# 1356858328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356858328 |
| Entity Type | Organization |
| Organization Name | BEAVER VALLEY HOSPITAL |
| Other Organization Name | PARAMOUNT HEALTH AND REHABILITATION |
| Practice Address |
4035 S 500 E Salt Lake City UT 84107-1866 |
| Practice Telephone | 8012629181 |
| Practice Fax Number | 8012621608 |
| Mailing Telephone | 8012629181 |
| Mailing Fax Number | 8012621608 |
| 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 |
|---|---|
| Paramount Health and Rehabilitation | 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 |
4035 S 500 E |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84107-1866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750387346 | Infinia At Alta | Skilled Nursing Facility | 4035 S 500 E, Salt Lake City, UT 84107-1866 | 2005-06-28 |
| 1750998316 | Nicole Carli Anjewierden | Physical Therapist | 4035 S 500 E, Salt Lake City, UT 84107-1866 | 2020-09-28 |
| 1376186668 | Alecia Danielle Grimes | Registered Nurse | 4035 S 500 E, Salt Lake City, UT 84107-1866 | 2019-10-20 |
| 1750875183 | Savannah Health Group LLC | Nurse Practitioner | 4035 S 500 E, Salt Lake City, UT 84107-1866 | 2018-06-19 |
| 1194216895 | Edwin O Awinda | Nurse Practitioner | 4035 S 500 E, Salt Lake City, UT 84107-1866 | 2018-05-29 |
| 1235682592 | Beaver Valley Hospital | Skilled Nursing Facility | 4035 S 500 E, Salt Lake City, UT 84107-1866 | 2016-08-03 |
| 1649481987 | Cardiff Healthcare, Inc. | Skilled Nursing Facility | 4035 S 500 E, Salt Lake City, UT 84107-1866 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| 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 |
| 1881215085 | Move Well Age Well, LLC | Clinic/Center | 2223 S Highland Dr Ste E6-256, Salt Lake City, UT 84106-3672 | 2020-04-29 |
| 1265094619 | Recalibrate Physical Therapy | Clinic/Center | 3450 S 400 E, Salt Lake City, UT 84115-4604 | 2019-07-06 |
| 1659633691 | Intensive Physical Therapy Institute, LLC | Clinic/Center | 4568 S Highland Dr Ste 180, Salt Lake City, UT 84117-4236 | 2012-06-14 |
| 1285864744 | Core of Health, LLC | Clinic/Center | 84 W 700 S, Salt Lake City, UT 84101-2731 | 2009-07-19 |
| 1013037704 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 1735 South Redwood Road, Suite 115, Salt Lake City, UT 84104 | 2007-03-29 |
| 1346898566 | C3 Physical Therapy and Health & Wellness Services | Clinic/Center | 6216 S Redwood Rd, Salt Lake City, UT 84123-6630 | 2019-08-30 |
| 1093222077 | Beaver Valley Hospital | Clinic/Center | 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2017-12-29 |
| 1891202859 | Beaver Valley Hospital | Clinic/Center | 4782 S Holladay Blvd, Salt Lake City, UT 84117-5444 | 2017-12-29 |
| 1275049348 | Beaver Valley Hospital | Clinic/Center | 165 S 1000 E, Salt Lake City, UT 84102-1402 | 2017-12-27 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84107 |
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.