MISSION HEALTH SERVICES (NPI# 1518149152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518149152 |
| Entity Type | Organization |
| Organization Name | MISSION HEALTH SERVICES |
| Other Organization Name | BEAR RIVER VALLEY CARE CENTER |
| Practice Address |
460 W 600 N Tremonton UT 84337-2400 |
| Practice Telephone | 4352574400 |
| Mailing Telephone | 4352574400 |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2014-08-18 |
| Authorized Official Name | GARY M KELSO (PRESIDENT) |
| Authorized Official Telephone | 8017452348 |
| Is Organization Subpart | Y |
| Parent Organization Name | MISSION HEALTH SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 2007 NCF 82143 | UT | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 1366650343 | 05 |
| Other Name | Type Code |
|---|---|
| Bear River Valley Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457338956 | Mission Health Services | Skilled Nursing Facility | 1216 E 1300 S, Salt Lake City, UT 84105-1949 | 2005-12-27 |
| 1013994516 | Mission Health Services | Skilled Nursing Facility | 25 Alpine Ave, Pleasant Grove, UT 84062-3511 | 2005-12-27 |
| 1104249432 | Mission Health Services | Skilled Nursing Facility | 1445 Uinta Dr, Green River, WY 82935-5004 | 2014-01-22 |
| Street Address |
460 W 600 N |
| City | TREMONTON |
| State | UT |
| Zip Code | 84337-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366650343 | Bear River Valley Care Center | Custodial Care Facility | 460 W 600 N, Tremonton, UT 84337-2400 | 2007-05-21 |
| 1649673088 | Gunnison Valley Hospital | Skilled Nursing Facility | 460 W 600 N, Tremonton, UT 84337-2400 | 2014-09-30 |
| 1952551939 | Richard Evan Penrod | Physical Therapist | 460 W 600 N, Tremonton, UT 84337-2400 | 2008-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134563760 | Jm Gauruder LLC | Chiropractor | 805 W Main St., Suite C, Tremonton, UT 84337 | 2013-04-25 |
| 1366717159 | Sean C Horsley | Social Worker | 905 N 1000 E, Tremonton, UT 84337 | 2012-03-13 |
| 1740420835 | Clifton Duane Kerr | General Practice | 725 West 1000 North, Tremonton, UT 84337 | 2009-03-02 |
| 1780877191 | Todd Miller | Family Medicine | 935 S 1000 W, Tremonton, UT 84337 | 2007-08-20 |
| 1982754081 | Bronson C Schultz | Dentist | 525 N 400 W, Tremonton, UT 84337 | 2007-01-11 |
| 1508423252 | Jeffrey David Zilles | Optometrist | 495 W 600 N, Tremonton, UT 84337 | 2019-05-28 |
| 1366828642 | Shopko Stores Operating Co., LLC | Durable Medical Equipment & Medical Supplies | 440 W Main St, Tremonton, UT 84337 | 2015-08-10 |
| 1720330228 | Kristina C Gerlach | Social Worker | 440 W 600 N, Tremonton, UT 84337 | 2012-10-08 |
| 1295818664 | Dee Duncan | Psychologist | 881 N Tremont St, Tremonton, UT 84337-1025 | 2006-10-21 |
| 1730558792 | Sarah Hurst | Specialist/Technologist | 720 N 350 E, Tremonton, UT 84337-1040 | 2015-09-21 |
| Find all providers in zip 84337 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467999524 | Garfield County | Nursing Facility/Intermediate Care Facility | 200 N 450 E, Panguitch, UT 84759 | 2017-01-27 |
| 1598128977 | Michael Maez | Nursing Facility/Intermediate Care Facility | 1174 24th St, Apt 4, Ogden, UT 84401-2763 | 2016-04-01 |
| 1932536257 | Ellas LLC | Nursing Facility/Intermediate Care Facility | 3520 S Highland Dr, Salt Lake City, UT 84106-3211 | 2013-10-01 |
| 1700141769 | Wepa Enterprises Inc. | Nursing Facility/Intermediate Care Facility | 155 N 300 W, Washington, UT 84780-1520 | 2012-07-05 |
| 1881991701 | Canyonlands Health Care Special Service District | Nursing Facility/Intermediate Care Facility | 390 W Williams Way, Moab, UT 84532 | 2011-02-14 |
| 1063669067 | Hazen Nursing Home, Inc | Nursing Facility/Intermediate Care Facility | 2520 S Redwood Rd, West Valley City, UT 84119-2215 | 2008-08-20 |
| 1003846478 | Mayfield Community Care Center, Inc. | Nursing Facility/Intermediate Care Facility | 10 W 400 S, Centerfield, UT 84622 | 2006-07-03 |
| 1851348965 | Hobble Creek Nursing & Rehab | Nursing Facility/Intermediate Care Facility | 469 N Main St, Springville, UT 84663-1036 | 2006-05-27 |
| 1871582759 | N.m.p. Inc | Nursing Facility/Intermediate Care Facility | 3520 Highland Dr, Salt Lake City, UT 84106-3211 | 2005-10-13 |
| 1346235645 | Tophams Tiny Tots Care Center | Nursing Facility/Intermediate Care Facility | 247 N 100 E, Orem, UT 84057-4731 | 2005-09-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.