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Bear Lake Community Health Center, Inc.
Federally Qualified Health Center (FQHC) in North Logan, Utah
NPI 1063630705

Bear Lake Community Health Center, Inc. is a Federally Qualified Health Center (FQHC) based in Providence, UT and is specialized in Federally Qualified Health Center (FQHC). Bear Lake Community Health Center, Inc. practices in North Logan, UT. The NPI Number for Bear Lake Community Health Center, Inc. is 1063630705 and holds a License No. (Utah).

The current practice location address for Bear Lake Community Health Center, Inc. is 1515 N 400 E Ste 104, North Logan, UT and can be reached out via phone at 435-946-3660.

Location: 1515 N 400 E Ste 104, North Logan, UT, 84332-9826
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063630705
Provider Name
Bear Lake Community Health Center, Inc.
Credential
Provider Entity Type
Organization
Address
1515 N 400 E Ste 104, North Logan, UT, 84332-9826
Phone Number
435-946-3660
Fax Number
Provider Enumeration Date
04/20/2007
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
1515 N 400 E Ste 104
City
North Logan
State
Utah
Zip
84341-7595
Phone Number
435-946-3660
Fax Number
person
Provider Business Mailing Address Details
Address
1515 N 400 E Ste 104
City
North Logan
State
Utah
Zip
84341-7595
Phone Number
435-946-3660
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
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