BEAR LAKE COMMUNITY HEALTH CENTER - RANDOLPH
NPI 1689241762
Clinic/Center - Federally Qualified Health Center (FQHC) in Randolph, UT

Q: 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.

Active since June 08, 2021

120 S MAIN ST, RANDOLPH, UT 84064(435) 755-6061 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 27, 2022, Feb 10, 2022, Jun 8, 2021 (3 updates tracked since 2021).

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About Bear Lake Community Health Center - Randolph NPPES

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

BEAR LAKE COMMUNITY HEALTH CENTER - RANDOLPH (NPI 1689241762) is a healthcare organization registered as a federally qualified health center (fqhc) in Randolph, Utah and active in the NPI registry since June 2021. The organization lists Jorge Garcia, Ceo, as its authorized official.

NPPES Registry Identity

NPI1689241762

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameBEAR LAKE COMMUNITY HEALTH CENTER, INC.

Location Address120 S MAIN STRandolph, UT 84064-7701

Mailing Address517 W 100 N Ste 210Providence, UT 84332-9826 · (435) 755-6061 · Fax (435) 994-8362

Phone(435) 755-6061

Organization SubpartNo

Authorized OfficialJorge GarciaCeo · (435) 755-6061

Enumeration DateJune 8, 2021

Last NPPES UpdateApril 27, 20223 updates tracked since enumeration

NPPES CertifiedApril 27, 2022

✔ NPI 1689241762 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

120 S MAIN ST, Randolph, UT 84064

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Other Names 1

Doing Business AsBear Lake Community Health Center - Randolph

Other Providers at the Same Location NPPES

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

NANCY WESTON DNP APRN FNP-C LLC

Nurse Practitioner

120 S MAIN ST
RANDOLPH, UT 84064

Rich County (435) 200-5612

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 1689241762. It was assigned to this organization in the NPPES registry on June 8, 2021. The provider is doing business as Bear Lake Community Health Center - Randolph.

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

Bear Lake Community Health Center, Inc. is located at 120 S Main St, Randolph, UT 84064. The listed phone number is (435) 755-6061.

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 April 27, 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.