| Bear Lake Community Health Center | |
|
325 W. Logan Hwy Garden City UT 84028-0328 | |
| (435) 946-3660 | |
| (435) 946-8215 |
| Full Name | Bear Lake Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 325 W. Logan Hwy, Garden City, Utah |
| Authorized Official Name and Position | Jorge Garcia (CEO) |
| Authorized Official Contact | 4357556061 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bear Lake Community Health Center 517 W 100 N Ste 210 Providence UT 84332-9826 Ph: (435) 755-6061 | Bear Lake Community Health Center 325 W. Logan Hwy Garden City UT 84028-0328 Ph: (435) 946-3660 |
| NPI Number | 1689754475 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 06/01/2022 |
| Medicare PECOS PAC ID | 9032020037 |
|---|---|
| Medicare Enrollment ID | O20030923000003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689754475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Health West, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 W Logan Rd, Garden City, UT 84028 Phone: 435-946-3660 | |
Bear Lake Community Health Center Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 West Logan Hwy., Garden City, UT 84028 Phone: 435-946-2770 Fax: 435-946-2781 |