BEAR LAKE COMMUNITY HEALTH CENTER


Address: 325 W. Logan Hwy, Garden City, UT 84028-0328
Phone: 4359463660

BEAR LAKE COMMUNITY HEALTH CENTER (NPI# 1689754475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689754475
Entity Type Organization
Organization Name BEAR LAKE COMMUNITY HEALTH CENTER
Practice Address 325 W. Logan Hwy
Garden City
UT 84028-0328
Mailing Address 1515 N 400 E Ste 104
North Logan
UT 84341-7595
Practice Telephone 4359463660
Practice Fax Number 4359468215
Mailing Telephone 4357556061
Mailing Fax Number 4357556091
Enumeration Date 2006-10-16
Last Update Date 2016-07-07
Authorized Official Name LAVAL B JENSEN (EXCECUTIVE DIRECTOR)
Authorized Official Telephone 4357556061
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1336705755 Bear Lake Community Health Center Pharmacy 517 W 100 N Ste 210, Providence, UT 84332-9826 2019-05-10
1285140376 Bear Lake Community Health Center Pharmacy 75 Yellow Creek Rd Ste 102, Evanston, WY 82930-5205 2017-12-27
1922514017 Bear Lake Community Health Center Pharmacy 2620 Commercial Way Ste 121, Rock Springs, WY 82901-4746 2017-12-27
1568732501 Bear Lake Community Health Center Pharmacy 75 Yellow Creek Rd # S-102, Evanston, WY 82930-5235 2012-01-09
1083886865 Bear Lake Community Health Center Pharmacy 1515 N 400 E, Suite 104, North Logan, UT 84341-7561 2008-04-01
1740383884 Bear Lake Community Health Center Pharmacy 325 W Logan Hwy, Garden City, UT 84028 2006-09-06
1063940344 Bear Lake Community Health Center Clinic/Center 2620 Commercial Way, Rock Springs, WY 82901-4671 2017-05-31
1558806125 Bear Lake Community Health Center Clinic/Center 5 W 200 N, Brigham City, UT 84302-2109 2017-01-05
1861949679 Bear Lake Community Health Center Pharmacy 152 S 4th St, Montpelier, ID 83254-1538 2016-09-09
1003264664 Bear Lake Community Health Center Clinic/Center 152 S 4th St, Montpelier, ID 83254-1538 2016-05-24

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities BEAR LAKE COMMUNITY HEALTH CENTER, INC. 325 W Logan Hwy, Garden City, UT 84028

Office Location

Street Address 325 W. LOGAN HWY
City GARDEN CITY
State UT
Zip Code 84028-0328

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821216722 David Jay Ballingham Physician Assistant 325 W. Logan Hwy, Garden City, UT 84028 2007-04-23
1669690566 Cardon Weston Willis Dentist 325 W. Logan Hwy, Garden City, UT 84028 2007-04-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255597043 Nathan Gracey Physician Assistant 325 W. Logan Highway, Garden City, UT 84028 2008-08-01
1518187798 Fred H Denison Social Worker 325 West Logan Highway, Garden City, UT 84028 2007-04-27
1710073523 Kam E Jarman Physical Therapist 95 West 50 South, Garden City, UT 84028 2006-10-05
1861587081 Bear Lake Community Health Center Pharmacy Clinic/Center 325 West Logan Hwy., Garden City, UT 84028 2006-10-04
1740383884 Bear Lake Community Health Center Pharmacy 325 W Logan Hwy, Garden City, UT 84028 2006-09-06
1508349465 Miles David Roberts Pharmacist 325 West Logan Highway, Garden City, UT 84028 2018-09-06
1891947594 Darrell George Smith Dentist 325 West Logan Highway, Garden City, UT 84028 2008-10-14
1063508885 Bryce S Woodfield Physical Therapist 95 West 50 South, Garden City, UT 84028 2006-10-05
1669568481 Bear Lake Physical and Sports Therapy PC Physical Therapist 95 West 50 South, Garden City, UT 84028-0276 2006-10-05
1629309786 Bear Lake Community Health Center Nurse Practitioner 325 West Logan Highway, Garden City, UT 84028-8001 2010-01-28
Find all providers in zip 84028

Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083752935 United Methodist Western Kansas Mexican American Ministries, Inc. Clinic/Center 2510 N Henderson Dr, Garden City, KS 67846-3624 2007-02-02
1619419447 United Methodist Western Kansas Mexican American Ministries,inc. Clinic/Center 801 N Campus Dr, Garden City, KS 67846-6333 2016-11-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871014092 Wayne Community Health Centers, Inc Clinic/Center 65 North Center Street, Escalante, UT 84776-0276 2017-06-28
1417305087 Bear Lake Community Health Centers Clinic/Center 944 S State Highway 89, Logan, UT 84321-5436 2016-05-24
1780090944 Southwest Utah Community Health Center, Inc. Clinic/Center 391 North 200 West, Hurricane, UT 84737-1616 2014-07-09
1548588247 Southwest Utah Community Health Center, Inc Clinic/Center 74 W. Harding Ave, Cedar City, UT 84720 2010-05-06
1528128899 Wasatch Homeless Health Care, Inc. Clinic/Center 409 W 400 S, Salt Lake City, UT 84101-1135 2006-12-09
1942317722 Green River Medical Center Inc Clinic/Center 585 West Main St., Box 417, Green River, UT 84525-0417 2006-08-25
1659358687 Southwest Utah Community Health Center Clinic/Center 25 N 100 E, Suite 102, St George, UT 84770 2005-12-30
1366447112 Community Health Centers Inc. Clinic/Center 1365 W 1000 N, Slc, UT 84116-1654 2005-06-17
1477558237 Community Health Centers Inc. Clinic/Center 8446 Harrison St, Midvale, UT 84047-3568 2005-06-17
1144834771 Carbon Medical Service Assocation, Incorporated Clinic/Center 305 Center St, East Carbon, UT 84520-7726 2020-09-01
Find all providers with the same taxonomy

Competitor

Search similar providers

City GARDEN CITY
Zip Code 84028

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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