BEAR RIVER HEALTHCARE LLC NPI 1295350460

NPI Information

NPI: 1295350460
Provider Name: BEAR RIVER HEALTHCARE LLC

Doing Business As: SYMBII HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 46D2021017

Address:
1153 N MAIN ST STE B100110
LOGAN, UT
ZIP 84341
Phone: (435) 752-2291
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BEAR RIVER HEALTHCARE LLC is a hospice care community based in Logan, UT. BEAR RIVER HEALTHCARE LLC NPI is 1295350460. The provider is registered as an organization entity type.
The provider Is Doing Business As Symbii Hospice.

The provider's business location address is:

1153 N MAIN ST STE B100110
LOGAN, UT
ZIP 84341-495
Phone: (435) 752-2291

The provider's authorized official is Lee Johnson .
The authorized official title is Treasurer and has the following contact phone number (208) 401-1369.

The CLIA number assigned to this NPI record is 46D2021017 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/12/2020 and was last updated on 3/16/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				Yes

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

NPI Synchronization or Removal

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