NPI | 1003264664 |
---|---|
Doing Business As | BEAR LAKE COMMUNITY HEALTH CENTER-MONTPELIER |
Entity Type | Organization |
Authorized Contact | JORGE GARCIA CEO 435-755-6061 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2016-05-24 |
Last Update Date | 2022-06-01 |