Bear Lake Community Health Center, Inc
Bear Lake Community Health Center, Inc is a Federally Qualified Health Center (FQHC) in Providence, Utah. 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
517 W 100 N Ste 110Providence, UT 84332-9826
Phone: (435) 755-6075
Fax: (435) 994-8362
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 | 1649546938 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jorge Garcia — Ceo · (435) 755-6061 |
| Other names | Cache Valley Community Health Center - Providence |
| NPI enumerated | March 30, 2012 |
| Last updated in NPPES | June 6, 2022 |
| Certification date | June 6, 2022 |
| Mailing address | 517 W 100 N Ste 210, Providence, UT 84332-9826 |
Other providers in Providence
-
Health West, Inc
517 W 100 N Ste 110, Providence, UT 84332-9826 · (435) 213-4225