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

NPI Status: Active since May 02, 2014

Contact Information

2329 CENTER ST
BOYNE FALLS, MI
ZIP 49713
Phone: (231) 535-2822
Fax: (231) 535-2372

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • Accepts Insurance
  • CLIA Number: 23D2303656
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 04-28-2028

About BEAR RIVER HEALTH

This page provides the complete NPI Profile along with additional information for Bear River Health, a provider established in Boyne Falls, Michigan operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1750791505 assigned on May 2014. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Bear River Health operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Bear River Health. The authorized official of this NPI record is Jackie Dee Wurst Rma (Financial Director)

NPI
1750791505
Provider Legal Name
WALLOON LAKE RECOVERY LODGE, LLC
Other Organization Name
BEAR RIVER HEALTH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2329 CENTER ST BOYNE FALLS, MI 49713
Location Phone
(231) 535-2822
Location Fax
(231) 535-2372
Mailing Address
2329 CENTER ST BOYNE FALLS, MI 49713
Mailing Phone
(231) 535-2822
Mailing Fax
(231) 535-2372
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-02-2014
Last Update Date
03-25-2024
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Location Map

Secondary Locations

  • 1619 West M32
    gaylord, MI 49735
    (231) 535-2822
  • 2594 Springvale Rd
    Boyne Falls, MI 49713
    (231) 535-2822
  • 218 Water St
    Cheboygan, MI 49721
    (231) 751-0070
  • 8486 M 119
    Harbor Springs, MI 49740
    (231) 545-4141
  • 811 Sammons St
    Cheboygan, MI 49721
    (231) 535-2822
  • 910 E Bellows St
    MT Pleasant, MI 48858
    (231) 535-2822
  • 906 E Bellows St
    MT Pleasant, MI 48858
    (231) 535-2822
  • 2480 W Campus Dr
    MT Pleasant, MI 48858
    (231) 535-2822

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

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
Taxonomy Description
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.

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)
1101Y00000XBehavioral Health & Social Service Providers

Counselor

 
2103T00000XBehavioral Health & Social Service Providers

Psychologist

 
3261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

 
4343900000XTransportation Services

Non-emergency Medical Transport (VAN)

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Blue Cross� Local HMO Bronze Extra - HMO
  • Blue Cross� Local HMO Bronze Secure - HMO
  • Blue Cross� Local HMO Silver Extra - HMO
  • Blue Cross� Local HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze Saver HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO
  • MHP Bronze - HMO
  • MHP Bronze Saver (Expanded) - HMO
  • MHP Expanded Bronze Standard - HMO
  • MHP Gold - HMO
  • MHP Gold Standard - HMO
  • MHP Silver Exchange - HMO
  • MHP Silver Exchange Rewards - HMO
  • MHP Silver Standard - HMO
  • MHP Young Adult/Catastrophic - HMO
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Gold Classic Standard - EPO
  • Gold Elite Saver Plus - EPO
  • Silver Classic - EPO
  • Silver Classic Standard - EPO
  • Silver Simple PCP Saver - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

JACKIE DEE WURST RMA

Authorized Official Title
FINANCIAL DIRECTOR
Authorized Official Phone
(231) 758-4566

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
SA0150024OTHER (01)MILARA LICENSE
SA0690033OTHER (01)MILARA LICENSE
SA0240041OTHER (01)MILARA LICENSE
5801000334OTHER (01)MITRANSPORTATION
SA0150031OTHER (01)MILARA LICENSE

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
23D2303656
Facility Type
Practitioner Other
Certificate Effective Date
April 29, 2026
Certificate Expiration Date
April 28, 2028
Laboratory Director
BRETT ROBERTS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bear River Health to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for BEAR RIVER HEALTH

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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 1750791505, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
7
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
0
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
9
Unchanged
Pos 7
1
Doubled → 2
Pos 8
5
Unchanged
Pos 9
0
Doubled → 0
Check
5
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 5 → 10 → 1 7 → 14 → 5 1 → 2 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 0 + 0 + 1 + 4 + 9 + 2 + 5 + 0 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1750791505.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Counselor (Addiction (Substance Use Disorder))
2329 CENTER ST
BOYNE FALLS, MI 49713
Counselor (Addiction (Substance Use Disorder))
2329 CENTER ST
BOYNE FALLS, MI 49713
Counselor (Addiction (Substance Use Disorder))
2329 CENTER ST
BOYNE FALLS, MI 49713
Counselor (Addiction (Substance Use Disorder))
2329 CENTER ST
BOYNE FALLS, MI 49713
Counselor (Addiction (Substance Use Disorder))
2329 CENTER ST
BOYNE FALLS, MI 49713
Counselor (Addiction (Substance Use Disorder))
2329 CENTER ST
BOYNE FALLS, MI 49713
Counselor (Addiction (Substance Use Disorder))
2329 CENTER ST
BOYNE FALLS, MI 49713
Counselor (Addiction (Substance Use Disorder))
2329 CENTER ST
BOYNE FALLS, MI 49713
Counselor (Addiction (Substance Use Disorder))
2329 CENTER ST
BOYNE FALLS, MI 49713
Counselor (Addiction (Substance Use Disorder))
2329 CENTER ST
BOYNE FALLS, MI 49713
Counselor (Addiction (Substance Use Disorder))
2329 CENTER ST
BOYNE FALLS, MI 49713
Counselor (Addiction (Substance Use Disorder))
2329 CENTER ST
BOYNE FALLS, MI 49713
Counselor (Addiction (Substance Use Disorder))
2329 CENTER ST
BOYNE FALLS, MI 49713
Peer Specialist
2329 CENTER ST
BOYNE FALLS, MI 49713
Counselor (Addiction (Substance Use Disorder))
2329 CENTER ST
BOYNE FALLS, MI 49713
Counselor (Addiction (Substance Use Disorder))
2329 CENTER ST
BOYNE FALLS, MI 49713
Counselor
2329 CENTER ST
BOYNE FALLS, MI 49713
Counselor (Addiction (Substance Use Disorder))
2329 CENTER ST
BOYNE FALLS, MI 49713
Counselor (Addiction (Substance Use Disorder))
2329 CENTER ST
BOYNE FALLS, MI 49713

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750791505, enumerated as an "organization" on May 02, 2014.

The provider is located at 2329 CENTER ST BOYNE FALLS, MI 49713 and the phone number is (231) 535-2822.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.