Organization
BEAVER VALLEY HOSPITAL
Active
Other names
Spring Creek Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG VAL DAVIDSON (CEO/ADMINISTRATOR)
(435) 438-7100
Entity
Organization
Contact information
Practice address
4600 S. HIGHLAND DRIVE, SALT LAKE CITY, UT 84117
(801) 272-1892
(801) 284-2960
Mailing address
4600 S. HIGHLAND DRIVE, SALT LAKE CITY, UT 84117
(801) 272-1892
(801) 284-2960
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2014-NCF-91199
UT
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
364655230001
—
UT
Enumeration date
05/19/2009
Last updated
05/11/2015
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