Bear River Valley Care Center
Organization Active NPI Custodial Care Facility · Tremonton, UT
NPI 1366650343 · NPPES record last updated Jun 12, 2008
Key facts
- NPI
- 1366650343
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Custodial Care Facility 311Z00000X
- License
- 2007NCF24 (UT)
- Legal business name
- BEAR RIVER VALLEY CARE CENTER
- Practice address
- 460 W 600 N
Tremonton, UT 84337-2400 - Phone
- (435) 257-4400
- NPI assigned
- May 21, 2007
- Organization subpart
- No
Authorized official
- Name
- Eric Packer
- Title
- Administrator
- Phone
- (435) 257-7441
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Bradley S Thompson DO
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | 2007NCF24 | UT | Yes |
Addresses
Primary practice location
460 W 600 N
Tremonton, UT 84337-2400
Mailing address
460 W 600 N
Tremonton, UT 84337-2400
Phone (435) 257-4400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 942854058564 | Medicaid | UT |
Other providers in Tremonton, UT
- Jay Douglas Argyle
- Auralcare Hearing Centers of America, LLC
- Back at Work of Utah LLC
- Bear River Eye Center, Inc
- Bear River Hearing Center LLC
- Bear River Valley Medical LLC
- Makayla Rene Bening
- David E Bitner
- Pamela Jean Bjerk
- Blue Creek Medical
All providers in Tremonton, UT · Custodial Care Facility in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.