Bear River Health
LBN: Walloon Lake Recovery Lodge, Llc
Bear River Health is an health care organization with primary practice located at 2329 Center St , Boyne Falls MI 49713-9268. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Psychologist, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, Transportation Services / Non-emergency Medical Transport (VAN). Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty.
Walloon Lake Recovery Lodge, Llc can be contacted via phone (231) 535-2822, or through Wurst, Jackie Dee via phone (231) 758-4566.
Contact Information
Primary practice address
2329 Center St
Boyne Falls MI 49713-9268
Phone: (231) 535-2822
Fax: (231) 535-2372
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | ||
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X | ||
| Transportation Services / Non-emergency Medical Transport (VAN) | 343900000X |
Profile Details
| NPI number | 1750791505 |
|---|---|
| LBN Legal business name | Walloon Lake Recovery Lodge, Llc |
| DBA Doing business as | Bear River Health |
| Authorized official | Wurst, Jackie Dee RMA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 2nd, 2014 |
| Last updated | Mar 25th, 2024 - about 8 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750791505 | NPPES |
| Michigan | Other | SA0150024 | LARA LICENSE |
| Michigan | Other | SA0690033 | LARA LICENSE |
| Michigan | Other | SA0240041 | LARA LICENSE |
| Michigan | Other | 5801000334 | LARA LICENSE |
| Michigan | Other | SA0150031 | LARA LICENSE |
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