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BEAR RIVER MENTAL HEALTH SERVICES INC NPI 1285736553


NPI Information

NPI: 1285736553
Provider Name: BEAR RIVER MENTAL HEALTH SERVICES INC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

CLIA Number: 46D2138116

Address:
90 E 200 N
LOGAN, UT
ZIP 84321
Phone: (435) 752-0750
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BEAR RIVER MENTAL HEALTH SERVICES INC is a mental health counselor in Logan, UT. BEAR RIVER MENTAL HEALTH SERVICES INC NPI is 1285736553. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

90 E 200 N
LOGAN, UT
ZIP 84321-034
Phone: (435) 752-0750
Fax: (435) 752-7433

The provider's authorized official is Mick Pattinson .
The authorized official title is Ceo and has the following contact phone number (435) 752-0750.

The CLIA number assigned to this NPI record is 46D2138116 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/5/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental Health11878UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1990177601002MEDICAIDUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.