NPIMap

Organization Active NPI

Bear River District Health Dept

  • Public Health or Welfare Agency
  • Logan, UT
National Provider Identifier
1609094507
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
BEAR RIVER DISTRICT HEALTH DEPT
Practice address
655 E 1300 N
Logan, UT 84341-2570
Phone
(435) 695-2077
Fax
(435) 792-6600
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Authorized official

Name
Laurie Maxwell
Title
Billing
Phone
(435) 792-6456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

655 E 1300 N
Logan, UT 84341-2570

Mailing address

655 E 1300 N
Logan, UT 84341-2570
Phone (435) 792-6456

Other identifiers 2

IdentifierTypeStateIssuer
998877668007MedicaidUT
999000150000MedicaidUT

Other names 1

  • Bear River District Health Department Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120512000001 UT Part B Supplier - Public Health/Welfare Agency 3274633441 Practice locations: Brigham City, UT; Garden City, UT; Logan, UT; Randolph, UT

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Bear River District Health Dept5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1609094507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 E 1300 N",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412570",
            "telephone_number": "435-792-6456",
            "fax_number": "435-258-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 E 1300 N",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412570",
            "telephone_number": "435-695-2077",
            "fax_number": "435-792-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAR RIVER DISTRICT HEALTH DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "435-792-6456"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "998877668007",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "999000150000",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bear River District Health Department",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Logan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.