| NPI | 1629309786 |
|---|---|
| Doing Business As | BEAR LAKE COMMUNITY HEALTH CENTER |
| Doing Business As | ROCK SPRINGS COMMUNITY HEALTH CENTER |
| Doing Business As | CACHE VALLEY COMMUNITY HEALTH CENTER |
| Doing Business As | EVANSTON COMMUNITY HEALTH CENTER |
| Doing Business As | BOX ELDER COMMUNITY HEALTH CENTER |
| Doing Business As | CACHE VALLEY COMMUNITY HEALTH CENTER- PROVIDENCE |
| Doing Business As | BEAR LAKE COMMUNITY HEALTH CENTER- MONTPELIER |
| Doing Business As | BEAR LAKE COMMUNITY HEALTH CENTER- RANDOLPH |
| Entity Type | Organization |
| Authorized Contact | JORGE GARCIA CEO 435-755-6061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 104100000X Social Worker |
| 106H00000X Marriage & Family Therapist | |
| 122300000X Dentist | |
| 1223G0001X Dentist, General Practice | |
| 133V00000X Dietitian, Registered | |
| 152W00000X Optometrist | |
| 1835P1300X Pharmacist, Psychiatric | |
| 207V00000X Obstetrics & Gynecology | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2022-06-06 |