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
- City
- Providence
- 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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