Provider Demographics
NPI:1306731328
Name:BEAR RIVER HEARING CENTER
Entity type:Organization
Organization Name:BEAR RIVER HEARING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:SUZETTE
Authorized Official - Last Name:PAGE
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:385-275-4919
Mailing Address - Street 1:390 W 100 S
Mailing Address - Street 2:
Mailing Address - City:TREMONTON
Mailing Address - State:UT
Mailing Address - Zip Code:84337-1748
Mailing Address - Country:US
Mailing Address - Phone:385-275-4919
Mailing Address - Fax:
Practice Address - Street 1:687 N 300 E
Practice Address - Street 2:
Practice Address - City:TREMONTON
Practice Address - State:UT
Practice Address - Zip Code:84337-1111
Practice Address - Country:US
Practice Address - Phone:385-275-4919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-10
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech