Organization
BEAVER MEDICAL, LLC
Active
Other names
Beaver Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE CHRISTENSEN (OFFICE MANAGER)
(435) 438-7280
Entity
Organization
Contact information
Practice address
1059 N 100 W, BEAVER, UT 84713-1690
(435) 438-7280
(435) 438-7210
Mailing address
PO BOX 1690, BEAVER, UT 84713-1690
(435) 438-7280
(435) 438-7210
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
47255720160
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG2421
PALMETTO RAILROAD MEDICARE
UT
Enumeration date
09/30/2005
Last updated
02/18/2026
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