| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1063940344 | BEAR LAKE COMMUNITY HEALTH CENTER, INC. | 517 W 100 N STE 210 | PROVIDENCE | UT | 843329826 | |||
| 1649546938 | BEAR LAKE COMMUNITY HEALTH CENTER, INC. | 517 W 100 N STE 210 | PROVIDENCE | UT | 843329826 | |||
| 1912648882 | FAST | DANIEL | GRIFFIN | 517 W 100 N STE 210 | PROVIDENCE | UT | 843329826 | |
| 1487328480 | GROLL | JEANNINE | ANNE | 106 N BEAR RIVER BLFS | PRESTON | ID | 832635184 | |
| 1932380839 | SANONE | SELANIE | ANN | 517 W. 100 N. | PROVIDENCE | UT | 843329826 | |
| 1588297360 | SMITH | CARLA | KNIGHTON | 517 W 100 N STE 210 | PROVIDENCE | UT | 843329826 | |
| 1871234765 | STRINGER | BRIANNE | EMORY | 517 W 100 N STE 210 | PROVIDENCE | UT | 843329826 | |
| 1275280265 | WHITTEN | JENNIFER | DANA | 517 W 100 N STE 210 | PROVIDENCE | UT | 843329826 |