Beaver Valley Hospital
Clinic/Center, Physical Therapy in West Jordan, UT. Organization (NPI-2).
NPI number1629584792
StatusActive
Last updated in NPPESMay 2, 2024
Details
- NPI
- 1629584792
- Entity type
- Organization (NPI-2)
- Legal business name
- Beaver Valley Hospital
- Organization subpart
- No
- Enumeration date
- Dec 27, 2017
- Certification date
- May 2, 2024
- Last updated
- May 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
Other names
- Copper Ridge Health Care Therapy (Doing Business As)
Practice location
3706 W 9000 SWest Jordan, UT 84088-8813
Phone 801-280-2273 · Fax 801-280-2285
Mailing address
3706 W 9000 SWest Jordan, UT 84088-8813
Phone 801-280-2273 · Fax 801-280-2285
Authorized official
Soon Burnam
Delegated Official
9495401249
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