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NPI Code Detail

MEDICARE: BEAR RIVER DISTRICT HEALTH DEPT

MEDICARE: BEAR RIVER DISTRICT HEALTH DEPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251K00000XPublic Health or Welfare Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609094507
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEAR RIVER DISTRICT HEALTH DEPT
Provider Business Mailing Address
First Line : 655 E 1300 N
Second Line :
City : LOGAN
State : UT
Zip : 84341-2570
Country : US
Telephone Number : 435-695-2077
Fax Number : 435-792-6600
Provider Business Practice Location Address
First Line : 655 E 1300 N
Second Line :
City : LOGAN
State : UT
Zip : 84341-2570
Country : US
Telephone Number : 435-695-2077
Fax Number : 435-792-6600
Authorized Official
Title or Position : BILLING
Name : LAURIE MAXWELL
Credential :
Telephone Number : 435-792-6456
Provider Enumeration Date : 04/23/2007
Last Update Date : 06/02/2026

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Directions to “BEAR RIVER DISTRICT HEALTH DEPT ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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