| Bear Lake Community Health Center, Inc. | |
|
152 S 4th St Montpelier ID 83254-1538 | |
| (208) 847-2108 | |
| (208) 847-2109 |
| Full Name | Bear Lake Community Health Center, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 152 S 4th St, Montpelier, Idaho |
| Authorized Official Name and Position | Jorge Garcia (CEO) |
| Authorized Official Contact | 4357556061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bear Lake Community Health Center, Inc. 517 W 100 N Ste 210 Providence UT 84332-9826 Ph: (435) 755-6061 | Bear Lake Community Health Center, Inc. 152 S 4th St Montpelier ID 83254-1538 Ph: (208) 847-2108 |
| NPI Number | 1003264664 |
|---|---|
| Provider Enumeration Date | 05/24/2016 |
| Last Update Date | 06/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003264664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Noall E Wolff Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 465 Washington St, Montpelier, ID 83254 Phone: 208-847-2878 Fax: 208-847-2340 | |
Bear Lake County Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 166 S 5th St, Montpelier, ID 83254 Phone: 208-847-1110 Fax: 208-847-0228 | |
Clay I. Campbell M.d.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 166 S 5th St, Montpelier, ID 83254 Phone: 208-847-3847 Fax: 208-847-1620 | |
Bear Lake County Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 465 Washington St, Montpelier, ID 83254 Phone: 208-847-4495 Fax: 208-847-4336 | |
Bear Lake County Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 465 Washington St, Montpelier, ID 83254 Phone: 208-847-4495 | |
Health West, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 152 S 4th St, Montpelier, ID 83254 Phone: 208-847-2108 |