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BEAR RIVER HEALTH
NPI 1750791505
Substance Abuse Rehabilitation Facility in Boyne Falls, MI

Active since May 02, 2014CLIA Certified · 3 labs
2329 CENTER ST, BOYNE FALLS, MI 49713(231) 535-2822(231) 535-2372 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 22, 2023, Oct 5, 2022, Nov 5, 2020 and 1 more (4 updates tracked since 2019).

About Bear River Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEAR RIVER HEALTH (NPI 1750791505) is a healthcare organization registered as a substance abuse rehabilitation facility in Boyne Falls, Michigan and active in the NPI registry since May 2014. The organization holds 3 active CLIA laboratory certificates, maintains 8 additional practice locations, and lists Jackie Dee Wurst, Financial Director, as its authorized official.

NPPES Registry Identity

NPI1750791505
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameWALLOON LAKE RECOVERY LODGE, LLC
Location Address2329 CENTER STBoyne Falls, MI 49713-9268
Mailing Address2329 Center StBoyne Falls, MI 49713-9268 · (231) 535-2822 · Fax (231) 535-2372
Phone(231) 535-2822
Fax(231) 535-2372
Organization SubpartNo
Authorized OfficialJackie Dee WurstFinancial Director · (231) 758-4566
Enumeration DateMay 2, 2014
Last NPPES UpdateMarch 25, 20244 updates tracked since enumeration
NPPES CertifiedMarch 25, 2024
✔ NPI 1750791505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
2329 CENTER ST, Boyne Falls, MI 49713
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Other Names 2

Doing Business AsBear River Health
Doing Business AsBear River Outreach

Secondary Practice Locations 8

Location 1218 Water StCheboygan, MI 49721-1606 · Phone (231) 751-0070
Location 2811 Sammons StCheboygan, MI 49721 · Phone (231) 535-2822
Location 31619 West M32gaylord, MI 49735 · Phone (231) 535-2822
Location 48486 M 119Harbor Springs, MI 49740-8508 · Phone (231) 545-4141
Location 52594 Springvale RdBoyne Falls, MI 49713-9684 · Phone (231) 535-2822
Location 62480 W Campus DrMT Pleasant, MI 48858-5414 · Phone (231) 535-2822
Location 7910 E Bellows StMT Pleasant, MI 48858-3930 · Phone (231) 535-2822
Location 8906 E Bellows StMT Pleasant, MI 48858-3940 · Phone (231) 535-2822

Other Identifiers 5

OtherSA0150024MI · Lara License
OtherSA0690033MI · Lara License
OtherSA0240041MI · Lara License
Other5801000334MI · Transportation
OtherSA0150031MI · Lara License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2303656

Bear River Health · Mount Pleasant, MI
Active · expires Apr 28, 2028
CLIA Number23D2303656
Laboratory TypePractitioner Other
Certificate Effective DateApril 29, 2026
Certificate Expiration DateApril 28, 2028
Laboratory DirectorBrett Roberts
Laboratory Phone(231) 394-0492
Laboratory LocationBear River Health906 E Bellows Street, Mount Pleasant, MI 48858
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D2323877

Bear River Health · Mount Pleasant, MI
Active · expires May 13, 2027
CLIA Number23D2323877
Laboratory TypePractitioner Other
Certificate Effective DateMay 14, 2025
Certificate Expiration DateMay 13, 2027
Laboratory DirectorBrett Roberts
Laboratory Phone(231) 394-0492
Laboratory LocationBear River Health2520 S University Park Drive, Mount Pleasant, MI 48858
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D2205577

Bear River Health · Gaylord, MI
Active · expires Dec 14, 2026
CLIA Number23D2205577
Laboratory TypePractitioner Other
Certificate Effective DateDecember 15, 2024
Certificate Expiration DateDecember 14, 2026
Laboratory DirectorBrett Roberts
Laboratory Phone(231) 394-0492
Laboratory LocationBear River Health1619 West M-32, Gaylord, MI 49735
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KELLEY M MCLEAN LPN, CADC-DP
Counselor (Addiction (Substance Use Disorder))
2329 CENTER ST
BOYNE FALLS, MI 49713
Charlevoix County (231) 535-2822
JACKIE GUZMAN CCAR
Peer Specialist
2329 CENTER ST
BOYNE FALLS, MI 49713
Charlevoix County (231) 535-2822
TERRA OWSLEY CAADC-DP
Counselor (Addiction (Substance Use Disorder))
2329 CENTER ST
BOYNE FALLS, MI 49713
Charlevoix County (231) 535-2822
KATRINA FREISTATTER CADC
Counselor (Addiction (Substance Use Disorder))
2329 CENTER ST
BOYNE FALLS, MI 49713
Charlevoix County (231) 535-2822
ALEXANDRA KHAN
Counselor (Addiction (Substance Use Disorder))
2329 CENTER ST
BOYNE FALLS, MI 49713
Charlevoix County (231) 535-2822
ERIC OMRON CCAR, CPRM, CADC-DP
Counselor (Addiction (Substance Use Disorder))
2329 CENTER ST
BOYNE FALLS, MI 49713
Charlevoix County (231) 535-2822
KARI DAY
Counselor (Addiction (Substance Use Disorder))
2329 CENTER ST
BOYNE FALLS, MI 49713
Charlevoix County (231) 535-2822
RACHEL ECKENROD BS, CADC-DP
Counselor (Addiction (Substance Use Disorder))
2329 CENTER ST
BOYNE FALLS, MI 49713
Charlevoix County (231) 535-2822

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walloon Lake Recovery Lodge, LLC's NPI number?

The NPI number for Walloon Lake Recovery Lodge, LLC is 1750791505. It was assigned to this organization in the NPPES registry on May 2, 2014. The provider is doing business as Bear River Health and Bear River Outreach.

Where is Walloon Lake Recovery Lodge, LLC located?

Walloon Lake Recovery Lodge, LLC is located at 2329 Center St, Boyne Falls, MI 49713. The listed phone number is (231) 535-2822.

What is Walloon Lake Recovery Lodge, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Walloon Lake Recovery Lodge, LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Walloon Lake Recovery Lodge, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Walloon Lake Recovery Lodge, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Walloon Lake Recovery Lodge, LLC was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.