BEAR RIVER VALLEY MEDICAL LLC – NPI #1568952190
Specialist/Technologist, Other

BEAR RIVER VALLEY MEDICAL LLC is a technologist located in TREMONTON, UT. NPPES has assigned the NPI number 1568952190 to BEAR RIVER VALLEY MEDICAL LLC on May 18, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 246ZE0600X from the Health Care Provider Taxonomy code set, which is classified as Specialist/Technologist, Other, specializing in Electroneurodiagnostic

The NPI profile was last updated on Jan 02, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BEAR RIVER VALLEY MEDICAL LLC below.

NPI Profile for
BEAR RIVER VALLEY MEDICAL LLC

NPI Number
1568952190
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BEAR RIVER VALLEY MEDICAL LLC
Primary location
9825 N 10800 W
TREMONTON, UT 84337-9222
Phone: (888) 851-3677 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TERESA CARTER
DIRECTOR OF BILLING
Phone: (907) 341-9751
Updated
Certification Date
Jan 02, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
246ZE0600X
- Specialist/Technologist, Other / Electroneurodiagnostic (Primary)
261QM2500X
- Clinic/Center / Medical Specialty

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.