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CACHE VALLEY COMMUNITY HEALTH CENTER
NPI 1063630705
Clinic/Center - Federally Qualified Health Center (FQHC) in North Logan, UT

Active since April 20, 2007
1515 N 400 E STE 104, NORTH LOGAN, UT 84341(435) 946-3660 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 27, 2022, Feb 14, 2022, Aug 22, 2020 (3 updates tracked since 2020).

About Cache Valley Community Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CACHE VALLEY COMMUNITY HEALTH CENTER (NPI 1063630705) is a healthcare organization registered as a federally qualified health center (fqhc) in North Logan, Utah and active in the NPI registry since April 2007. The organization lists Jorge Garcia, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063630705
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameBEAR LAKE COMMUNITY HEALTH CENTER, INC.
Location Address1515 N 400 E STE 104North Logan, UT 84341-7595
Mailing Address517 W 100 N Ste 210Providence, UT 84332-9826 · (435) 946-3660
Phone(435) 946-3660
Organization SubpartNo
Authorized OfficialJorge GarciaCeo · (435) 755-6061
Enumeration DateApril 20, 2007
Last NPPES UpdateJune 1, 20223 updates tracked since enumeration
NPPES CertifiedJune 1, 2022
✔ NPI 1063630705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
1515 N 400 E STE 104, North Logan, UT 84341
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Other Names 1

Doing Business AsCache Valley Community Health Center

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TYLER ANDERSON CSW
Social Worker
1515 N 400 E STE 104
LOGAN, UT 84341
Cache County (208) 232-7862
DENNIS WILDMAN CSW
Social Worker
1515 N 400 E STE 104
NORTH LOGAN, UT 84341
Cache County (435) 755-6061
BOSTON WEBB DMD
Dentist
1515 N 400 E STE 104
NORTH LOGAN, UT 84341
Cache County (208) 232-7862
RYAN MACKAY AUSTIN MSN, APRN, FNP-C
Nurse Practitioner (Family)
1515 N 400 E STE 104
NORTH LOGAN, UT 84341
Cache County (435) 755-6061
HEALTH WEST, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1515 N 400 E STE 104
NORTH LOGAN, UT 84341
Cache County (435) 755-6061
MATTHEW JOSEPH EDRINGTON
Social Worker (Clinical)
1515 N 400 E STE 104
NORTH LOGAN, UT 84341
Cache County (435) 755-6061
DR. JEREMY C STARR DO
Family Medicine
1515 N 400 E STE 104
NORTH LOGAN, UT 84341
Cache County (435) 755-6061
SIDNEY BRYCE HILL LCSW
Social Worker
1515 N 400 E STE 104
NORTH LOGAN, UT 84341
Cache County (435) 755-6061

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bear Lake Community Health Center, Inc.'s NPI number?

The NPI number for Bear Lake Community Health Center, Inc. is 1063630705. It was assigned to this organization in the NPPES registry on April 20, 2007. The provider is doing business as Cache Valley Community Health Center.

Where is Bear Lake Community Health Center, Inc. located?

Bear Lake Community Health Center, Inc. is located at 1515 N 400 E Ste 104, North Logan, UT 84341. The listed phone number is (435) 946-3660.

What is Bear Lake Community Health Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Bear Lake Community Health Center, Inc. was last updated on June 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.