NPI 1063940344
Bear Lake Community Health Center, INC.
Practice location
- Address
- 2620 Commercial Way, Rock Springs, WY 82901-4671
- Phone
- (435) 755-6061
- Fax
- (435) 994-8362
- 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
Registry record
- NPI
- 1063940344
- Entity type
- Organization
- NPI issued
- 31 May 2017
- 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.