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BEAR LAKE COMMUNITY HEALTH CENTER INC. NPI 1629309786


NPI Information

NPI: 1629309786
Provider Name: BEAR LAKE COMMUNITY HEALTH CENTER, INC.

Doing Business As: ROCK SPRINGS COMMUNITY HEALTH CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 46D2055060

Address:
325 WEST LOGAN HIGHWAY
GARDEN CITY, UT
ZIP 84028
Phone: (435) 946-3660
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BEAR LAKE COMMUNITY HEALTH CENTER, INC. is a family medicine in Garden City, UT. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BEAR LAKE COMMUNITY HEALTH CENTER, INC. NPI is 1629309786. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Rock Springs Community Health Center.

The provider's business location address is:

325 WEST LOGAN HIGHWAY
GARDEN CITY, UT
ZIP 84028-001
Phone: (435) 946-3660
Fax: (435) 946-8215

The provider's authorized official is Jorge Garcia .
The authorized official title is Ceo and has the following contact phone number (435) 755-6061.

The CLIA number assigned to this NPI record is 46D2055060 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/28/2010 and was last updated on 6/6/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial WorkerNo
2106H00000XMarriage & Family TherapistNo
3122300000XDentistNo
41223G0001XDentistGeneral PracticeNo
5133V00000XDietitian, RegisteredNo
6152W00000XOptometristNo
71835P1300XPharmacistPsychiatricNo
8207V00000XObstetrics & GynecologyNo
92084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
10363A00000XPhysician AssistantNo
11363L00000XNurse PractitionerNo
12363LF0000XNurse PractitionerFamilyNo
13363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
14207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.