NPI age
10 years
Enumerated 2016-05-24
● Active Type 2 · Organization
Bear Lake Community Health Center, Inc.
Bear Lake Community Health Center, Inc. is 1 of 162 federally qualified health center (fqhc) (clinic/center) organizations in Idaho.
Primary specialty
Federally Qualified Health Center (FQHC) (Clinic/Center)
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Garcia
Ceo
Last NPPES update
2022-06-01
Source: CMS NPPES provider record
How this organization compares
Across 162 active federally qualified health center (fqhc) (clinic/center) providers in Idaho.
NPI age
10 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2016 → 2022
2016-05Enumerated in NPPES
2016
2022
Where they practice
Primary practice location
152 S 4th St
Montpelier, ID 832541538
Mailing address
517 W 100 N Ste 210
Providence, UT 843329826
Authorized official
Jorge Garcia
Ceo
📞 4357556061
Other providers sharing this address
4 individual providers use this same primary NPPES address. Address matching does not prove employment or organizational affiliation.
- Mark Berning, PHARMD Pharmacist NPI 1336512714
- Spencer Esplin, PA-S Physician Assistant NPI 1225768336
- Ory Hutchison, PHARMD Pharmacist NPI 1265168819
- Mina Wayman, GNP Nurse Practitioner NPI 1386829687
Specialties
-
Clinic/Center PrimaryCMS NPPES uses NUCC taxonomy code 261QF0400X for provider records classified as Federally Qualified Health Center (FQHC) within Clinic/Center. The taxonomy identifies the category reported on the NPI record; it does not by itself verify...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Bear Lake Community Health Center-Montpelier
-
Bear Lake Community Health Center-Montpelier
Practice context
Shared NPPES address. 4 individual providers use this primary address. This does not prove employment or affiliation.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.