BEAR RIVER VALLEY MEDICAL LLC NPI 1568952190

NPI Information

NPI: 1568952190
Provider Name: BEAR RIVER VALLEY MEDICAL LLC
Classification: Specialist/Technologist, Other - 246ZE0600X
Entity Type: Organization

Specialization: Electroneurodiagnostic

CLIA Number: 46D0678424

Address:
9825 N 10800 W
TREMONTON, UT
ZIP 84337
Phone: (888) 851-3677
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BEAR RIVER VALLEY MEDICAL LLC is an electroneurodiagnostic specialist technologist other in Tremonton, UT. BEAR RIVER VALLEY MEDICAL LLC NPI is 1568952190. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9825 N 10800 W
TREMONTON, UT
ZIP 84337-222
Phone: (888) 851-3677

The provider's authorized official is Shannon Allen .
The authorized official title is Owner and has the following contact phone number (888) 851-3677.

The CLIA number assigned to this NPI record is 46D0678424 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/18/2018 and was last updated on 1/14/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	246ZE0600X	Specialist/Technologist, Other	Electroneurodiagnostic			Yes
2	261QM2500X	Clinic/Center	Medical Specialty			No

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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