Organization · Type 2 NPI

Bear Lake Community Health Center, Inc.

Federally Qualified Health Center (FQHC) · Rock Springs, WY

NPI number 1063940344 Active

Practice location

2620 Commercial Way
Rock Springs, WY 82901-4671

Fax (435) 994-8362

Mailing address

517 W 100 N Ste 210
Providence, UT 84332-9826

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1063940344

Bear Lake Community Health Center, Inc.'s National Provider Identifier is 1063940344, issued on May 31, 2017. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Rock Springs, WY. The record was last updated on Jun 1, 2022.