BEAR LAKE COMMUNITY HEALTH CENTERS


Address: 944 S State Highway 89, Logan, UT 84321-5436
Phone: 4357556075

BEAR LAKE COMMUNITY HEALTH CENTERS (NPI# 1417305087) 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) 1417305087
Entity Type Organization
Organization Name BEAR LAKE COMMUNITY HEALTH CENTERS
Other Organization Name CACHE VALLEY COMMUNITY HEALTH CENTER-LOGAN
Practice Address 944 S State Highway 89
Logan
UT 84321-5436
Mailing Address 517 W 100 N Ste 210
Providence
UT 84332-9826
Practice Telephone 4357556075
Practice Fax Number 4357556091
Mailing Telephone 4357556061
Mailing Fax Number 4357556091
Enumeration Date 2016-05-24
Last Update Date 2018-09-21
Authorized Official Name LAVAL B. JENSEN (CEO)
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/Organization Names

Other Name Type Code
Cache Valley Community Health Center-Logan Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1235495771 Bear Lake Community Health Centers Clinic/Center 75 Yellow Creek Rd, Suite 102, Evanston, WY 82930-5235 2012-04-10
1649546938 Bear Lake Community Health Centers Clinic/Center 517 W 100 N Ste 110, Providence, UT 84332-9826 2012-03-30

Office Location

Street Address 944 S STATE HIGHWAY 89
City LOGAN
State UT
Zip Code 84321-5436

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265074157 Grant E Severe Pharmacist 175 E 442 N, Logan, UT 84321 2019-10-11
1437712585 Gregory Scott Hansen Pharmacist 412 East 200 North, Logan, UT 84321 2019-04-15
1043701584 Mckell Peidl Behavior Technician 240 E 400 N Apt 8, Logan, UT 84321 2018-05-21
1801331194 Eric Dutson Speech-Language Pathologist 964 W 2880 S, Nibley, UT 84321 2016-12-22
1063805299 Krystal Cox Marriage & Family Therapist 493 North 700 East, Logan, UT 84321 2015-03-12
1013340801 Carly D. L. Lebaron Marriage & Family Therapist 95 W. 100 S., Suite 360, Logan, UT 84321 2013-08-15
1669710471 Brandon Bailey Counselor 1465 N. 300 W., Ste. A, Brigham, UT 84321 2013-01-29
1871843086 Brandi Lee Richins Social Worker 90 E. 200 N., Logan, UT 84321 2012-09-14
1922356732 Stacy Lynn Hamilton Jones Marriage & Family Therapist 60 East Center Street, Suite 205, Keystone Family Solutions, Logan, UT 84321 2012-08-28
1992002455 Robert Thomas Allred Chiropractor 944 South Highway 89/91, Logan, UT 84321 2011-02-18
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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
1023331220 Lincoln County Primary Care Center, Inc Clinic/Center 122 Nick Savas Drive, Logan, WV 25601-3468 2010-03-03
1336106632 Community Health Foundation of Logan Clinic/Center Hc68 Box 1000, Suite 3, Logan, WV 25601-9620 2006-04-28
1669463360 Hopewell Health Centers Inc Clinic/Center 30381 Chieftain Drive, Logan, OH 43138-1013 2005-11-02
1598396202 Logan-mingo Area Mental Health, Inc Clinic/Center 174 Lmah Center Rd, Logan, WV 25601-4058 2020-01-31
1083169163 Hopewell Health Centers Inc Clinic/Center 541 State Route 664 N Ste C, Logan, OH 43138-8541 2016-08-18
1366723975 Lincoln County Primary Care Center, Inc. Clinic/Center 1 Wildcat Way, Logan, WV 25601-3474 2011-09-09
1063630705 Bear Lake Community Health Center Clinic/Center 550 E 1400 N Ste K, Logan, UT 84341-2450 2007-04-20

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
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
1689754475 Bear Lake Community Health Center Clinic/Center 325 W. Logan Hwy, Garden City, UT 84028-0328 2006-10-16
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
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Competitor

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City LOGAN
Zip Code 84321

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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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