| Bear Lake Community Health Center, Inc. | |
|
2620 Commercial Way Rock Springs WY 82901-4671 | |
| (435) 755-6061 | |
| (435) 994-8362 |
| Full Name | Bear Lake Community Health Center, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2620 Commercial Way, Rock Springs, Wyoming |
| 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. 2620 Commercial Way Rock Springs WY 82901-4671 Ph: (435) 755-6061 |
| NPI Number | 1063940344 |
|---|---|
| Provider Enumeration Date | 05/31/2017 |
| Last Update Date | 06/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063940344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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