Active NPI
Mission Health Services
Doing business as Bear River Valley Care Center
- Nursing Facility/Intermediate Care Facility
- Tremonton, UT
National Provider Identifier
1518149152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 2007 NCF 82143
- Legal business name
- MISSION HEALTH SERVICES
- Doing business as
- Bear River Valley Care Center
- Practice address
- 460 W 600 N
Tremonton, UT 84337-2400 - Phone
- (435) 257-4400
- NPI assigned
- Dec 5, 2007
- Last updated
- Aug 18, 2014
- Organization subpart
- Yes
- Parent organization
- MISSION HEALTH SERVICES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gary M Kelso
- Title
- President
- Phone
- (801) 745-2348
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 2007 NCF 82143 | UT | Primary |
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 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366650343 | Medicaid | UT |
Other names 1
- Bear River Valley Care Center
National Provider Directory
National Provider Directory- Part of
- Mission Health Services
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Mission at Castle Rock Rehabilitation Center
- Skilled Nursing Facility
- Green River, WY
- NPI 1104249432
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408320000000",
"number": "1518149152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 W 600 N",
"city": "TREMONTON",
"state": "UT",
"postal_code": "843372400",
"telephone_number": "435-257-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 W 600 N",
"city": "TREMONTON",
"state": "UT",
"postal_code": "843372400",
"telephone_number": "435-257-4400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISSION HEALTH SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MISSION HEALTH SERVICES",
"enumeration_date": "2007-12-05",
"last_updated": "2014-08-18",
"status": "A",
"authorized_official_last_name": "KELSO",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "801-745-2348"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "UT",
"license": "2007 NCF 82143",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1366650343",
"state": "UT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bear River Valley Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Tremonton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.