NPIMap

Organization Active NPI

Bear River District Health Dept

  • Health Educator
  • Logan, UT
National Provider Identifier
1659888196
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
BEAR RIVER DISTRICT HEALTH DEPT
Practice address
655 E 1300 N
Logan, UT 84341-2570
Phone
(435) 792-6500
NPI assigned
Jan 5, 2018
Organization subpart
Yes
Parent organization
BEAR RIVER DISTRICT HEALTH DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Authorized official

Name
Mindy C Morehead
Title
Insurance Credentialing Specialist
Phone
(435) 792-6516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193400000X SINGLE SPECIALTY GROUP 174H00000X 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) 792-6516

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180729000024 UT MDPP Supplier - in-Person MDPP Supplier 3274633441 Practice locations: Logan, 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
Part of
Bear River District Health Dept

Other organizations with this tax ID 4

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

Locations

817 W 950 S
Brigham City, UT 84302
Phone (435) 695-2077

440 W 6th N
Tremonton, UT 84337
Phone (435) 257-7441

125 S 100 W
Tremonton, UT 84337
Phone (435) 792-6500

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 12

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": "1515110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540857600000",
    "number": "1659888196",
    "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": "435-792-6516"
        },
        {
            "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": "435-792-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAR RIVER DISTRICT HEALTH DEPT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEAR RIVER DISTRICT HEALTH DEPARTMENT",
        "enumeration_date": "2018-01-05",
        "last_updated": "2018-10-30",
        "status": "A",
        "authorized_official_last_name": "MOREHEAD",
        "authorized_official_first_name": "MINDY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "INSURANCE CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "435-792-6516"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 30, 2018; 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.