OrganizationActive
Bear Lake Community Health Center, Inc.
NPI 1689241762 · Federally Qualified Health Center (FQHC) · Randolph, UT
Provider details
- NPI number
- 1689241762
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jorge Garcia, Ceo(435) 755-6061
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
120 S Main St
Randolph, UT 84064-7701
Phone: (435) 755-6061
Street-level locationGet directions
Mailing address
517 W 100 N Ste 210
Providence, UT 84332-9826
Other names (DBA / former)
- Doing business as
- Bear Lake Community Health Center - Randolph
- Doing business as
- Bear Lake Community Health Center - Randolph
Registry dates
- Enumerated
- 2021-06-08
- Last updated
- 2022-04-27
- Certified
- 2022-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.