institution
Bear Lake Community Health Center, Inc.
Federally Qualified Health Center (FQHC) in Evanston, Wyoming
NPI 1235495771

Bear Lake Community Health Center, Inc. is a Federally Qualified Health Center (FQHC) based in Providence, WY and is specialized in Federally Qualified Health Center (FQHC). Bear Lake Community Health Center, Inc. practices in Evanston, WY. The NPI Number for Bear Lake Community Health Center, Inc. is 1235495771 and holds a License No. (Wyoming).

The current practice location address for Bear Lake Community Health Center, Inc. is 75 Yellow Creek Rd, Evanston, WY and can be reached out via phone at 307-789-8290 and via fax at 307-789-8975. You can also correspond with Bear Lake Community Health Center, Inc. through the mailing address at 517 W 100 N STE 210, PROVIDENCE, UT - 84332-9826 (mailing address contact number: 435-755-6061).

Location: 75 Yellow Creek Rd, Evanston, WY, 84332-9826
institution
Provider Profile Details
NPI Number
1235495771
Provider Name
Bear Lake Community Health Center, Inc.
Credential
Provider Entity Type
Organization
Address
75 Yellow Creek Rd, Evanston, WY, 84332-9826
Phone Number
307-789-8290
Fax Number
307-789-8975
Provider Enumeration Date
04/10/2012
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
75 Yellow Creek Rd
City
State
Zip
82930-5235
Phone Number
307-789-8290
Fax Number
307-789-8975
person
Provider Business Mailing Address Details
Address
517 W 100 N Ste 210
City
State
Zip
84332-9826
Phone Number
435-755-6061
Fax Number
354-994-8362
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
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Definition
Definition to come...
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