| Beaver Medical, Llc | |
|
850 N Main Milford UT 84751-0640 | |
| (435) 387-2471 | |
| (435) 387-2475 |
| Full Name | Beaver Medical, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 850 N Main, Milford, Utah |
| Authorized Official Name and Position | Julie Christensen (OFFICE MANAGER) |
| Authorized Official Contact | 4354387280 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beaver Medical, Llc Po Box 1690 Beaver UT 84713-1690 Ph: (435) 438-7280 | Beaver Medical, Llc 850 N Main Milford UT 84751-0640 Ph: (435) 387-2471 |
| NPI Number | 1336136969 |
|---|---|
| Provider Enumeration Date | 09/29/2005 |
| Last Update Date | 11/30/2012 |
| Medicare PECOS PAC ID | 2365352036 |
|---|---|
| Medicare Enrollment ID | O20030710000010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336136969 | NPI | - | NPPES |
| CG2421 | Other | RAILROAD MEDICARE PALMETTO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |