Bear Lake Community Health Center, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

BEAR LAKE COMMUNITY HEALTH CENTER, INC.

Doing business as

Rock Springs Community Health Center

Practice address

2620 Commercial Way
Rock Springs, WY 82901-4671

Phone

(435) 755-6061

Fax

(435) 994-8362

NPI assigned

May 31, 2017

Last updated

Jun 1, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jorge Garcia

Title

Ceo

Phone

(435) 755-6061

Specialties & licenses 1

Addresses

Other names 1

• Rock Springs Community Health Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1063940344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 W 100 N STE 210",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843329826",
            "telephone_number": "435-755-6061",
            "fax_number": "435-994-8362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 COMMERCIAL WAY",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014671",
            "telephone_number": "435-755-6061",
            "fax_number": "435-994-8362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAR LAKE COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "435-755-6061"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rock Springs Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rock Springs Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Ann Bates, CAPA
• Naga L Battala, M.D.
• Michael A. Bauer, M.A.
• Savanna Bayless, BA
• Ramona Beach, M.S. CCC SLP
• Benjamin Edward Beasley, M.D.
• Tiffani Jean Beatty, LCSW
• Krystal Becker, RBT
• Brad Bell
• Joshua Robert Bellamy

• Federally Qualified Health Center (FQHC) in Rock Springs, WY
• Providers in Rock Springs, WY by specialty
• Federally Qualified Health Center (FQHC) in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.