Bear Lake Community Health Center, Inc.

NPI #1003264664 in Montpelier, Idaho

Provider Information

NPI Number
1003264664
Entity Type
Organization
Organization Name
Bear Lake Community Health Center, Inc.
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
May 24, 2016
Last Updated
Jun 1, 2022

Practice Location

Address
152 S 4TH ST
State
Idaho
ZIP Code
83254-1538
Phone
(208) 847-2108

Authorized Official

Name
JORGE GARCIA
Title
CEO
Phone
(435) 755-6061

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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