Organization
BEAR LAKE COMMUNITY HEALTH CENTER, INC.
Active
Other names
Bear Lake Community Health Center-Montpelier
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE GARCIA (CEO)
(435) 755-6061
Entity
Organization
Contact information
Practice address
152 S 4TH ST, MONTPELIER, ID 83254-1538
(208) 847-2108
(208) 847-2109
Mailing address
517 W 100 N STE 210, PROVIDENCE, UT 84332-9826
(435) 755-6061
(354) 994-8362
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/24/2016
Last updated
06/01/2022
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