| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1629309786 | BEAR LAKE COMMUNITY HEALTH CENTER, INC. | 517 W 100 N STE 210 | PROVIDENCE | UT | 843329826 | |||
| 1689754475 | BEAR LAKE COMMUNITY HEALTH CENTER, INC. | 517 W 100 N STE 210 | PROVIDENCE | UT | 843329826 | |||
| 1114016250 | WESTON | MARK | C. | 517 W 100 N STE 210 | PROVIDENCE | UT | 843329826 |