Bear Lake Community Health Center, Inc.

NPI #1649546938 in Providence, Utah

Provider Information

NPI Number
1649546938
Entity Type
Organization
Organization Name
Bear Lake Community Health Center, Inc.
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Mar 30, 2012
Last Updated
Jun 6, 2022

Practice Location

Address
517 W 100 N STE 110
State
Utah
ZIP Code
84332-9826
Phone
(435) 755-6075

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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