BEAR LAKE COMMUNITY HEALTH CENTER INC. NPI 1649546938

NPI Information

BEAR LAKE COMMUNITY HEALTH CENTER, INC. is a federally qualified health center (fqhc) clinic center in Providence, UT. BEAR LAKE COMMUNITY HEALTH CENTER, INC. NPI is 1649546938. The provider is registered as an organization entity type.
The provider Is Doing Business As Cache Valley Community Health Center-south.

The provider's business location address is:

517 W 100 N STE 110
PROVIDENCE, UT
ZIP 84332-826
Phone: (435) 755-6075
Fax: (435) 994-8362

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 enumeration date for this NPI number is 3/30/2012 and was last updated on 2/14/2022.

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:

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.