OrganizationActive
Bear Lake Community Health Center, Inc.
NPI 1003264664 · Federally Qualified Health Center (FQHC) · Montpelier, ID
Provider details
- NPI number
- 1003264664
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Authorized official
- Jorge Garcia, Ceo
Practice location
152 S 4th St
Montpelier, ID 83254-1538
Phone: (208) 847-2108
Fax: (208) 847-2109
Mailing address
517 W 100 N Ste 210
Providence, UT 84332-9826
Registry dates
- Enumerated
- 2016-05-24
- Last updated
- 2022-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.