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
- Organization
- Substance Abuse Rehabilitation Facility
- Accepts Insurance
- CLIA Number: 23D2303656
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 04-28-2026
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 one year ago. Bear River Health operates as a multi-specialty business group with one or more individual providers 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
- Code Navigator
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) |
|---|---|---|---|---|
| 1 | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | |
| 3 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center | |
| 4 | 343900000X | Transportation 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:
- 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� Metro Detroit HMO Bronze Extra - HMO
- Blue Cross� Metro Detroit HMO Silver Extra - 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� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Select HMO Bronze Saver HSA - HMO
- Blue Cross� Select HMO Bronze Secure - HMO
- Blue Cross� Select HMO Silver - HMO
- Blue Cross� Select HMO Silver Extra - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze 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
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.
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 |
|---|---|---|---|
| SA0150024 | OTHER (01) | MI | LARA LICENSE |
| SA0690033 | OTHER (01) | MI | LARA LICENSE |
| SA0240041 | OTHER (01) | MI | LARA LICENSE |
| 5801000334 | OTHER (01) | MI | TRANSPORTATION |
| SA0150031 | OTHER (01) | MI | LARA 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, 2024
- Certificate Expiration Date
- April 28, 2026
- 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 Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 7 | 9 | 1 | 5 | 0 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 14 | 9 | 2 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 4 + 9 + 2 + 5 + 0 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1750791505 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1417614058 | WENDI PERCHA Individual | Counselor (Addiction (Substance Use Disorder)) | 2329 CENTER ST BOYNE FALLS, MI 49713 (231) 535-2822 |
| 1982361200 | HEATHER ZBACNIK CADC-DP Individual | Counselor (Addiction (Substance Use Disorder)) | 2329 CENTER ST BOYNE FALLS, MI 49713 (231) 535-2822 |
| 1881341006 | DANIEL RUSTICK Individual | Counselor (Addiction (Substance Use Disorder)) | 2329 CENTER ST BOYNE FALLS, MI 49713 (231) 535-2822 |
| 1770224305 | ADAM LABARTHE Individual | Counselor (Addiction (Substance Use Disorder)) | 2329 CENTER ST BOYNE FALLS, MI 49713 (231) 535-2822 |
| 1114657921 | KATRINA FREISTATTER CADC Individual | Counselor (Addiction (Substance Use Disorder)) | 2329 CENTER ST BOYNE FALLS, MI 49713 (231) 535-2822 |
| 1518697176 | ANDREA KLINE CADC. CPRC Individual | Counselor (Addiction (Substance Use Disorder)) | 2329 CENTER ST BOYNE FALLS, MI 49713 (231) 535-2822 |
| 1467170191 | RYAN BRETZ CADC-DP Individual | Counselor (Addiction (Substance Use Disorder)) | 2329 CENTER ST BOYNE FALLS, MI 49713 (231) 535-2822 |
| 1043927502 | ANITA MOSHER CADC-DP Individual | Counselor (Addiction (Substance Use Disorder)) | 2329 CENTER ST BOYNE FALLS, MI 49713 (231) 535-2822 |
| 1477144822 | BRIANNA LYNN ALLEN Individual | Counselor (Addiction (Substance Use Disorder)) | 2329 CENTER ST BOYNE FALLS, MI 49713 (906) 361-0242 |
| 1831890920 | REBECCA WERTMAN CAADC-CCS Individual | Counselor (Addiction (Substance Use Disorder)) | 2329 CENTER ST BOYNE FALLS, MI 49713 (231) 535-2822 |
| 1033792460 | MRS. KELLEY M MCLEAN LPN, CADC-DP Individual | Counselor (Addiction (Substance Use Disorder)) | 2329 CENTER ST BOYNE FALLS, MI 49713 (231) 535-2822 |
| 1114604790 | TERRA OWSLEY CAADC-DP Individual | Counselor (Addiction (Substance Use Disorder)) | 2329 CENTER ST BOYNE FALLS, MI 49713 (231) 535-2822 |
| 1134984560 | ALEXANDRA KHAN Individual | Counselor (Addiction (Substance Use Disorder)) | 2329 CENTER ST BOYNE FALLS, MI 49713 (231) 535-2822 |
| 1578318432 | MICHELLE WOODWORTH Individual | Counselor (Addiction (Substance Use Disorder)) | 2329 CENTER ST BOYNE FALLS, MI 49713 (231) 535-2822 |
| 1750136610 | TRESA GUZNICZAK CCAR Individual | Counselor (Addiction (Substance Use Disorder)) | 2329 CENTER ST BOYNE FALLS, MI 49713 (231) 535-2822 |
| 1083449581 | JACKIE GUZMAN CCAR Individual | Peer Specialist | 2329 CENTER ST BOYNE FALLS, MI 49713 (231) 535-2822 |
| 1356163356 | RACHEL ECKENROD BS, CADC-DP Individual | Counselor (Addiction (Substance Use Disorder)) | 2329 CENTER ST BOYNE FALLS, MI 49713 (231) 535-2822 |
| 1174359152 | ERIC OMRON CCAR, CPRM, CADC-DP Individual | Counselor (Addiction (Substance Use Disorder)) | 2329 CENTER ST BOYNE FALLS, MI 49713 (231) 535-2822 |
| 1699582437 | JENNIFER LOVEJOY CADC-DP Individual | Counselor | 2329 CENTER ST BOYNE FALLS, MI 49713 (231) 535-2822 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750791505, enumerated in the NPI registry 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
This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X
The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 23D2303656 for a "practitioner other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..
This NPI record was last updated on May 02, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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