NPIMap

Organization Active NPI

Bear River District Health Department

  • Clinical Medical Laboratory
  • Logan, UT
National Provider Identifier
1730903824
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
BEAR RIVER DISTRICT HEALTH DEPARTMENT
Doing business as
Bear River Behavioral Health Clinical Lab
Practice address
655 E 1300 N
Logan, UT 84341-2570
Phone
(435) 792-6500
NPI assigned
Nov 14, 2024
Organization subpart
Yes
Parent organization
BEAR RIVER DISTRICT HEALTH DEPTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Mindy C Morehead
Title
Credentialing/Billing Specialist
Phone
(435) 695-2077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 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) 792-6500

Other names 1

  • Bear River Behavioral Health Clinical Lab Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D0671184Bear River Health Department655 E 1300 N, Logan, UT 84341Certificate of waiverNov 26, 2026

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.

NPI Registry JSON

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1730903824",
    "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": "435-792-6500"
        },
        {
            "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 DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEAR RIVER DISTRICT HEALTH DEPT",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "MOREHEAD",
        "authorized_official_first_name": "MINDY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CREDENTIALING/BILLING SPECIALIST",
        "authorized_official_telephone_number": "435-695-2077"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bear River Behavioral Health Clinical Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.