Bear Lake Community Health Center, Inc
Bear Lake Community Health Center, Inc is a Federally Qualified Health Center (FQHC) in Randolph, Utah. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
120 S Main StRandolph, UT 84064-7701
Phone: (435) 755-6061
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 | 1689241762 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jorge Garcia — Ceo · (435) 755-6061 |
| Other names | Bear Lake Community Health Center - Randolph; Bear Lake Community Health Center - Randolph |
| NPI enumerated | June 8, 2021 |
| Last updated in NPPES | April 27, 2022 |
| Certification date | April 27, 2022 |
| Mailing address | 517 W 100 N Ste 210, Providence, UT 84332-9826 |