Organization
BEAVER VALLEY HOSPITAL
Active
Other names
South Ogden Post-Acute
Organization subpart
No
Provider details
NPI number
Authorized official
TOBY TILFORD (CEO/PRESIDENT)
(760) 471-0388
Entity
Organization
Contact information
Practice address
5540 S 1050 E, SOUTH OGDEN, UT 84405-7078
(801) 479-8455
Mailing address
100 E SAN MARCOS BLVD, SUITE 200, SAN MARCOS, CA 92069-2986
(760) 471-0388
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2015-NCF-306
UT
Other
Enumeration date
08/07/2015
Last updated
08/07/2016
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