BEAR RIVER VALLEY CARE CENTER
Custodial Care Facility
Tremonton, Utah
Provider NPI: 1366650343
Organization Information:Organization Name: BEAR RIVER VALLEY CARE CENTER
Practice Location:
460 W 600 N TREMONTON, UT 84337 US
Tel: 435-257-4400 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
460 W 600 N TREMONTON, UT 84337 US
Tel: 435-257-4400 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311Z00000X | Nursing & Custodial Care Facilities Custodial Care Facility | UT | 2007NCF24 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
942854058564 | UT | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin