BEAR LAKE COMMUNITY HEALTH CENTER, INC.

NPI # 

Practice Address:

517 W 100 N Ste 110

Providence, UT, 84332-9826

Practice Phone:

435-755-6075

Practice Fax:

435-994-8362

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X