Organization
BEAR RIVER DISTRICT HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LLOYD BERENTZEN (DIRECTOR)
(435) 792-6500
Entity
Organization
Contact information
Practice address
655 E 1300 N, LOGAN, UT 84341
(435) 792-6500
Mailing address
655 E 1300 N, LOGAN, UT 84341
(435) 792-6500
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
998877668007
—
UT
Enumeration date
07/13/2007
Last updated
09/12/2007
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