Organization
BEAVER VALLEY HOSPITAL
Active
Other names
Rocky Mountain Care - Logan
Organization subpart
No
Provider details
NPI number
Authorized official
TROY THOMPSON (BOARD PRESIDENT)
(801) 397-4697
Entity
Organization
Contact information
Practice address
1480 N 400 E, LOGAN, UT 84341-7525
(435) 750-5501
(435) 750-7031
Mailing address
598 W 900 S STE 220, WOODS CROSS, UT 84010-8195
(801) 397-4697
(801) 397-4054
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2006-NCF-482
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870470782031
—
UT
Enumeration date
08/20/2006
Last updated
01/10/2022
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