Bear Lake Community Health Center, Inc.

NPI #1235495771 in Evanston, Wyoming

Provider Information

NPI Number
1235495771
Entity Type
Organization
Organization Name
Bear Lake Community Health Center, Inc.
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Apr 10, 2012
Last Updated
Jun 1, 2022

Practice Location

Address
75 YELLOW CREEK RD
Address 2
SUITE 102
State
Wyoming
ZIP Code
82930-5235
Phone
(307) 789-8290

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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