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CACHE VALLEY COMMUNITY HEALTH CENTER - PROVIDENCE
NPI 1649546938
Clinic/Center - Federally Qualified Health Center (FQHC) in Providence, UT

Active since March 30, 2012
517 W 100 N STE 110, PROVIDENCE, UT 84332(435) 755-6075(435) 994-8362 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2022, May 9, 2022, Apr 27, 2022 and 3 more (6 updates tracked since 2018).

About Cache Valley Community Health Center - Providence NPPES

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

CACHE VALLEY COMMUNITY HEALTH CENTER - PROVIDENCE (NPI 1649546938) is a healthcare organization registered as a federally qualified health center (fqhc) in Providence, Utah and active in the NPI registry since March 2012. The organization lists Jorge Garcia, Ceo, as its authorized official.

NPPES Registry Identity

NPI1649546938
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameBEAR LAKE COMMUNITY HEALTH CENTER, INC.
Location Address517 W 100 N STE 110Providence, UT 84332-9826
Mailing Address517 W 100 N Ste 210Providence, UT 84332-9826 · (435) 755-6061 · Fax (435) 994-8362
Phone(435) 755-6075
Fax(435) 994-8362
Organization SubpartNo
Authorized OfficialJorge GarciaCeo · (435) 755-6061
Enumeration DateMarch 30, 2012
Last NPPES UpdateJune 6, 20226 updates tracked since enumeration
NPPES CertifiedJune 6, 2022
✔ NPI 1649546938 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
517 W 100 N STE 110, Providence, UT 84332
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Other Names 1

Doing Business AsCache Valley Community Health Center - Providence

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.

WHITNEY PETTERBORG RDN
Dietitian, Registered
517 W 100 N STE 110
PROVIDENCE, UT 84332
Cache County (435) 755-6075
NATHAN JAY ZURCHER
Nurse Practitioner (Psychiatric/Mental Health)
517 W 100 N STE 110
PROVIDENCE, UT 84332
Cache County (435) 755-6075
PAUL D. MCOMBER PA-C
Physician Assistant
517 W 100 N STE 110
PROVIDENCE, UT 84332
Cache County (435) 755-6075
HEALTH WEST, INC.
Pharmacy (Community/Retail Pharmacy)
517 W 100 N STE 110
PROVIDENCE, UT 84332
Cache County (435) 755-6061
MARCOS SUAREZ CSW
Social Worker
517 W 100 N STE 110
PROVIDENCE, UT 84332
Cache County (435) 755-6075
DR. CALLIN PASSEY OD
Optometrist
517 W 100 N STE 110
PROVIDENCE, UT 84332
Cache County (435) 755-6075
HEALTH WEST, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
517 W 100 N STE 110
PROVIDENCE, UT 84332
Cache County (435) 213-4225
TROY BENALLIE
Marriage & Family Therapist
517 W 100 N STE 110
PROVIDENCE, UT 84332
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 1649546938. It was assigned to this organization in the NPPES registry on March 30, 2012. The provider is doing business as Cache Valley Community Health Center - Providence.

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

Bear Lake Community Health Center, Inc. is located at 517 W 100 N Ste 110, Providence, UT 84332. The listed phone number is (435) 755-6075.

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 6, 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.