BEAR RIVER VALLEY MEDICAL LLC
NPI 1568952190
Specialist/Technologist, Other - Electroneurodiagnostic in Tremonton, UT

NPI Status: Active since May 18, 2018

Contact Information

9825 N 10800 W
TREMONTON, UT
ZIP 84337
Phone: (888) 851-3677

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  • Organization
  • Specialist/Technologist, Other
  • Electroneurodiagnostic
  • CLIA Number: 46D0678424
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 08-22-2027

About BEAR RIVER VALLEY MEDICAL LLC

This page provides the complete NPI Profile along with additional information for Bear River Valley Medical Llc, a provider established in Tremonton, Utah operating as a Specialist/technologist, Other, focusing in electroneurodiagnostic . The healthcare provider is registered in the NPI registry with number 1568952190 assigned on May 2018. The practitioner's primary taxonomy code is 246ZE0600X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Teresa Carter (Director Of Billing)

NPI
1568952190
Provider Name
BEAR RIVER VALLEY MEDICAL LLC
Entity Type
Organization
Location Address
9825 N 10800 W TREMONTON, UT 84337
Location Phone
(888) 851-3677
Mailing Address
9825 N 10800 W TREMONTON, UT 84337
Mailing Phone
(907) 341-9751
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-18-2018
Last Update Date
01-02-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist/Technologist, Other Electroneurodiagnostic

Taxonomy Code
246ZE0600X
Type
Technologists, Technicians & Other Technical Service Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM2500XAmbulatory Health Care Facilities

Clinic/Center
Medical Specialty

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TERESA CARTER

Authorized Official Title
DIRECTOR OF BILLING
Authorized Official Phone
(907) 341-9751

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
46D0678424
Facility Type
Hospital
Certificate Effective Date
August 23, 2025
Certificate Expiration Date
August 22, 2027
Laboratory Director
DR. MARK A. BENEDICT
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Bear River Valley Medical Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1568952190, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
8
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
5
Unchanged
Pos 7
2
Doubled → 4
Pos 8
1
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 9 → 18 → 9 2 → 4 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 2 + 8 + 1 + 8 + 5 + 4 + 1 + 1 + 8 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1568952190.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Technician/Technologist
9825 N 10800 W
TREMONTON, UT 84337
Technician/Technologist
9825 N 10800 W
TREMONTON, UT 84337
Psychiatry & Neurology (Neurology)
9825 N 10800 W
TREMONTON, UT 84337
Technician/Technologist
9825 N 10800 W
TREMONTON, UT 84337
Registered Nurse
9825 N 10800 W
TREMONTON, UT 84337
Psychiatry & Neurology (Clinical Neurophysiology)
9825 N 10800 W
TREMONTON, UT 84337
Specialist/Technologist, Other (Electroneurodiagnostic)
9825 N 10800 W
TREMONTON, UT 84337
Specialist/Technologist, Other (Electroneurodiagnostic)
9825 N 10800 W
TREMONTON, UT 84337
Specialist/Technologist, Other (EEG)
9825 N 10800 W
TREMONTON, UT 84337
Specialist/Technologist, Other (Electroneurodiagnostic)
9825 N 10800 W
TREMONTON, UT 84337
Specialist/Technologist, Other (Electroneurodiagnostic)
9825 N 10800 W
TREMONTON, UT 84337

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568952190, enumerated as an "organization" on May 18, 2018.

The provider is located at 9825 N 10800 W TREMONTON, UT 84337 and the phone number is (888) 851-3677.

Specialist/Technologist, Other with taxonomy code 246ZE0600X and a focus in Electroneurodiagnostic.