EVANSTON COMMUNITY HEALTH CENTER
NPI 1235495771
Clinic/Center - Federally Qualified Health Center (FQHC) in Evanston, WY

Active since April 10, 2012
75 YELLOW CREEK RD, SUITE 102, EVANSTON, WY 82930(307) 789-8290(307) 789-8975 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 27, 2022, Sep 21, 2018 (2 updates tracked since 2018).

About Evanston Community Health Center NPPES

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

EVANSTON COMMUNITY HEALTH CENTER (NPI 1235495771) is a healthcare organization registered as a federally qualified health center (fqhc) in Evanston, Wyoming and active in the NPI registry since April 2012. The organization lists Jorge Garcia, Ceo, as its authorized official.

NPPES Registry Identity

NPI1235495771
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameBEAR LAKE COMMUNITY HEALTH CENTER, INC.
Location Address75 YELLOW CREEK RD, SUITE 102Evanston, WY 82930-5235
Mailing Address517 W 100 N Ste 210Providence, UT 84332-9826 · (435) 755-6061 · Fax (354) 994-8362
Fax(307) 789-8975
Organization SubpartNo
Authorized OfficialJorge GarciaCeo · (435) 755-6061
Enumeration DateApril 10, 2012
Last NPPES UpdateJune 1, 20222 updates tracked since enumeration
NPPES CertifiedJune 1, 2022
NPI 1235495771 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
75 YELLOW CREEK RD, Evanston, WY 82930

Other Names 1

Doing Business AsEvanston Community Health Center

Other Providers at the Same Location NPPES 11

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

Nurse Practitioner (Family)
75 YELLOW CREEK RD, SUITE 202
EVANSTON, WY 82930
Counselor (Professional)
75 YELLOW CREEK RD, SUITE 105
EVANSTON, WY 82930
Clinic/Center (Federally Qualified Health Center (FQHC))
75 YELLOW CREEK RD
EVANSTON, WY 82930
Nurse Practitioner
75 YELLOW CREEK RD, SUITE 202
EVANSTON, WY 82930
Family Medicine
75 YELLOW CREEK RD, SUITE 102
EVANSTON, WY 82930
Nurse's Aide
75 YELLOW CREEK RD, STE 105
EVANSTON, WY 82930
Physician Assistant
75 YELLOW CREEK RD, SUITE 102
EVANSTON, WY 82930
Case Manager/Care Coordinator
75 YELLOW CREEK RD, STE 105
EVANSTON, WY 82930

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 1235495771. It was assigned to this organization in the NPPES registry on April 10, 2012. The provider is doing business as Evanston Community Health Center.

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

Bear Lake Community Health Center, Inc. is located at 75 Yellow Creek Rd Suite 102, Evanston, WY 82930. The listed phone number is (307) 789-8290.

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.