BEAVER MEDICAL LLC NPI 1770570202

NPI Information

  • NPI: 1770570202
  • Provider Name: BEAVER MEDICAL, LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: BEAVER MEDICAL CLINIC
  • Address: 1059 N 100 W
    BEAVER, UT
    ZIP 84713
  • Phone: (435) 438-7280

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NPI Details

BEAVER MEDICAL, LLC is a primary care clinic center in Beaver, UT. BEAVER MEDICAL, LLC NPI is 1770570202. The provider is registered as an organization entity type.
The provider Is Doing Business As Beaver Medical Clinic.

The provider's business location address is:

1059 N 100 W
BEAVER, UT
ZIP 84713-690
Phone: (435) 438-7280
Fax: (435) 438-7210

The provider's authorized official is Julie Christensen .
The authorized official title is Office Manager and has the following contact phone number (435) 438-7280.

The enumeration date for this NPI number is 9/30/2005 and was last updated on 11/16/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural Health47255720160UTAHNo
2261QP2300XClinic/CenterPrimary CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CG2421OTHERUTAHPALMETTO RAILROAD MEDICARE
2000055384MEDICARE PINUTAH
3463810MEDICARE OSCAR/CERTIFICATION
4=========028MEDICAIDUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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