Organization · Type 2 NPI

Bear Lake Community Health Center, Inc.

Federally Qualified Health Center (FQHC) · Providence, UT

NPI number 1649546938 Active

Practice location

517 W 100 N Ste 110
Providence, UT 84332-9826

Call (435) 755-6075 Map

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 1649546938

Bear Lake Community Health Center, Inc.'s National Provider Identifier is 1649546938, issued on Mar 30, 2012. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Providence, UT. The record was last updated on Jun 6, 2022.