NPI 1003264664

Bear Lake Community Health Center, INC.

Organisation Federally Qualified Health Center (FQHC) Montpelier, ID

Practice location

Address: 152 S 4th St, Montpelier, ID 83254-1538
Phone: (208) 847-2108
Fax: (208) 847-2109
Mailing address: 517 W 100 N STE 210, Providence, UT 84332-9826

Authorised official

Name: Jorge Garcia
Title: Ceo
Phone: (435) 755-6061

Registered specialties

Federally Qualified Health Center (FQHC) Primary

Ambulatory Health Care Facilities Taxonomy 261QF0400X

Other Clinic/Center providers in Idaho →

Registry record

NPI: 1003264664
Entity type: Organization
NPI issued: 24 May 2016
Record last updated: 1 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.