Organization
BEAVER VALLEY HOSPITAL
Active
Other names
Four Corners Regional Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG VAL DAVIDSON (CEO/ADMINISTRATOR)
(435) 438-7100
Entity
Organization
Contact information
Practice address
818 NORTH 400 WEST, BLANDING, UT 84511
(435) 678-2251
(435) 678-2326
Mailing address
818 NORTH 400 WEST, BLANDING, UT 84511
(435) 678-2251
(435) 678-2326
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275437628001
—
UT
Enumeration date
03/14/2011
Last updated
05/11/2015
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