Bear Lake Community Health Center, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Rock Springs, WY
NPI 1063940344 · NPPES record last updated Jun 1, 2022
Key facts
- NPI
- 1063940344
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- BEAR LAKE COMMUNITY HEALTH CENTER, INC.
- Practice address
- 2620 Commercial Way
Rock Springs, WY 82901-4671 - Phone
- (435) 755-6061
- Fax
- (435) 994-8362
- NPI assigned
- May 31, 2017
- Organization subpart
- No
Authorized official
- Name
- Jorge Garcia
- Title
- Ceo
- Phone
- (435) 755-6061
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
2620 Commercial Way
Rock Springs, WY 82901-4671
Mailing address
517 W 100 N Ste 210
Providence, UT 84332-9826
Phone (435) 755-6061
Other names
- Rock Springs Community Health Center
Other providers in Rock Springs, WY
- Melissa Ann Bates
- Naga L Battala
- Michael A. Bauer
- Savanna Bayless
- Ramona Beach
- Benjamin Edward Beasley
- Tiffani Jean Beatty
- Krystal Becker
- Brad Bell
- Joshua Robert Bellamy
All providers in Rock Springs, WY · Federally Qualified Health Center (FQHC) in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.