BEAR LAKE COMMUNITY HEALTH CENTER, INC.; NPI #1063940344

Contact Information

BEAR LAKE COMMUNITY HEALTH CENTER, INC.

2620 COMMERCIAL WAY
ROCK SPRINGS, WY 82901-4671

Phone: 435-755-6061
Fax: 435-994-8362
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center

Indicates primary specialty

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NPI Profile & details for BEAR LAKE COMMUNITY HEALTH CENTER, INC.

NPI Number	`1063940344`
LBN Legal business name	BEAR LAKE COMMUNITY HEALTH CENTER, INC.
Authorized official	JORGE GARCIA - (CEO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	05/31/2017
Last updated	06/01/2022 - About 4 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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