Bear Lake Community Health Center, Inc
Bear Lake Community Health Center, Inc is a Federally Qualified Health Center (FQHC) in Evanston, Wyoming. Registered with an NPI since 2012.
- In the registry since
- 2012
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
75 Yellow Creek Rd Ste 102Evanston, WY 82930-5235
Phone: (307) 789-8290
Fax: (307) 789-8975
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Federally Qualified Health Center (FQHC) (primary) | Taxonomy 261QF0400X |
|---|
Record details
| NPI number | 1235495771 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jorge Garcia — Ceo · (435) 755-6061 |
| Other names | Evanston Community Health Center; Evanston Community Health Center |
| NPI enumerated | April 10, 2012 |
| Last updated in NPPES | June 1, 2022 |
| Certification date | June 1, 2022 |
| Mailing address | 517 W 100 N Ste 210, Providence, UT 84332-9826 |
Other providers in Evanston
-
Health West, Inc
75 Yellow Creek Rd Ste 102, Evanston, WY 82930-5205 · (307) 789-8290