BEAR LAKE COMMUNITY HEALTH CENTER, INC. is a federally qualified health center (fqhc) clinic center in Randolph, UT. BEAR LAKE COMMUNITY HEALTH CENTER, INC. NPI is 1689241762. The provider is registered as an organization entity type.
The provider Is Doing Business As Bear Lake Community Health Center - Randolph.
The provider's business location address is:
120 S MAIN ST
RANDOLPH, UT
ZIP 84064-701
Phone: (435) 755-6061
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 46D2237201 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 6/8/2021 and was last updated on 4/27/2022.