Bear River Healthcare LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BEAR RIVER HEALTHCARE LLC

Practice address

1153 N Main St Ste B100
Logan, UT 84341-2573

Phone

(435) 752-2291

Fax

(435) 213-2230

NPI assigned

Jun 14, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lee Johnson

Title

Treasurer

Phone

(208) 401-1369

Specialties & licenses 3

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1386374189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 N MAIN ST STE B100",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412573",
            "telephone_number": "435-752-2291",
            "fax_number": "435-213-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 N MAIN ST STE B100",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412573",
            "telephone_number": "435-752-2291",
            "fax_number": "435-213-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAR RIVER HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "208-401-1369"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bear River District Health Department
• Bear River District Health Department
• Bear River District Health Dept
• Bear River District Health Dept
• Bear River District Health Dept
• Bear River Mental Health
• Bear River Mental Health Services Inc
• Bear River Mental Health8
• Bear River Spine Center, PLLC
• Camra Janell Bearnson, WHNP/ CNM

• Physical Therapist in Logan, UT
• Providers in Logan, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.