Organization
BEAR RIVER HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE JOHNSON (TREASURER)
(208) 401-1369
Entity
Organization
Contact information
Practice address
1153 N MAIN ST STE B100, LOGAN, UT 84341-2573
(435) 752-2291
(435) 213-2230
Mailing address
1153 N MAIN ST STE B100, LOGAN, UT 84341-2573
(435) 752-2291
(435) 213-2230
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up