Organization
MISSION HEALTH SERVICES
Active
Parent organization
MISSION HEALTH SERVICES
Other names
Bear River Valley Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISSION HEALTH SERVICES
Authorized official
GARY M KELSO (PRESIDENT)
(801) 745-2348
Entity
Organization
Contact information
Practice address
460 W 600 N, TREMONTON, UT 84337-2400
(435) 257-4400
Mailing address
460 W 600 N, TREMONTON, UT 84337-2400
(435) 257-4400
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
2007 NCF 82143
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366650343
—
UT
Enumeration date
12/05/2007
Last updated
08/18/2014
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