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Beaver Medical, Llc
Rural Health Clinic/Center in Beaver, Utah
NPI 1770570202

Beaver Medical, Llc is a Rural Health Clinic/Center based in Beaver, UT and is specialized in Rural Health. Beaver Medical, Llc practices in Beaver, UT. The NPI Number for Beaver Medical, Llc is 1770570202 and holds a License No. (Utah).

The current practice location address for Beaver Medical, Llc is 1059 N 100 W, Beaver, UT and can be reached out via phone at 435-438-7280 and via fax at 435-438-7210.

Location: 1059 N 100 W, Beaver, UT, 84713-1690
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770570202
Provider Name
Beaver Medical, Llc
Credential
Provider Entity Type
Organization
Address
1059 N 100 W, Beaver, UT, 84713-1690
Phone Number
435-438-7280
Fax Number
435-438-7210
Provider Enumeration Date
09/30/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CG2421 01 UT PALMETTO RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1059 N 100 W
City
Beaver
State
Utah
Zip
84713-1690
Phone Number
435-438-7280
Fax Number
435-438-7210
person
Provider Business Mailing Address Details
Address
1059 N 100 W
City
Beaver
State
Utah
Zip
84713-1690
Phone Number
435-438-7280
Fax Number
435-438-7210
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
47255720160 (Utah)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
()
Definition
Definition to come...
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