OrganizationBeaver Valley HospitalClinic/CenterAmbulatory Health Care FacilitiesPractice Address4035 S 500 E, Salt Lake City, UT 84107-1866(801) 262-9181PECOS EnrollmentBased on the most recent information from CMS, provider Beaver Valley Hospital does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1770376261Provider TypeOrganizationFull NameBeaver Valley HospitalSubpartNoEnumeration Date5/27/2025Last Updated5/27/2025Contact InformationPractice LocationPractice Address4035 S 500 E, Salt Lake City, UT 84107-1866Phone(801) 262-9181FaxUnlisted FaxMailing LocationMailing Address4035 S 500 E, Salt Lake City, UT 84107-1866Phone(801) 262-9181FaxUnlisted FaxAuthorized OfficialNameBurnam, Soon (Secretary Of Management Company)Phone(949) 540-1249Provider TaxonomiesCodeDescriptionLicenseCode261QP2000XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseUnlisted IssuerCode225800000XDescriptionRecreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer