| NPI | 1477979896 |
|---|---|
| Other Name | BEAR RIVER CLINIC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYN THOMAS Executive Director 801-412-6920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 122300000X Dentist |
| 124Q00000X Dental Hygienist | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2023-10-30 |