institution
Bear Lake Community Health Center, Inc.
Federally Qualified Health Center (FQHC) in Randolph, Utah
NPI 1689241762

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 Randolph, UT. The NPI Number for Bear Lake Community Health Center, Inc. is 1689241762 and holds a License No. (Utah).

The current practice location address for Bear Lake Community Health Center, Inc. is 120 S Main St, Randolph, UT and can be reached out via phone at 435-755-6061.

Location: 120 S Main St, Randolph, UT, 84332-9826
institution
Provider Profile Details
NPI Number
1689241762
Provider Name
Bear Lake Community Health Center, Inc.
Credential
Provider Entity Type
Organization
Address
120 S Main St, Randolph, UT, 84332-9826
Phone Number
435-755-6061
Fax Number
Provider Enumeration Date
06/08/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
120 S Main St
City
State
Zip
84064-7701
Phone Number
435-755-6061
Fax Number
person
Provider Business Mailing Address Details
Address
120 S Main St
City
State
Zip
84064-7701
Phone Number
435-755-6061
Fax Number
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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