| Box Elder Community Health Center | |
|
5 W 200 N Brigham City UT 84302-2109 | |
| (435) 723-7999 | |
| (435) 723-7331 |
| Full Name | Box Elder Community Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 5 W 200 N, Brigham City, Utah |
| 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 |
|---|---|
| Box Elder Community Health Center 517 W 100 N Ste 210 Providence UT 84332-9826 Ph: (435) 755-6061 | Box Elder Community Health Center 5 W 200 N Brigham City UT 84302-2109 Ph: (435) 723-7999 |
| NPI Number | 1558806125 |
|---|---|
| Provider Enumeration Date | 01/05/2017 |
| Last Update Date | 06/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558806125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Utah) | Primary |
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