| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1649546938 | BEAR LAKE COMMUNITY HEALTH CENTER, INC. | 517 W 100 N STE 210 | PROVIDENCE | UT | 843329826 | |||
| 1851916464 | LANDRY | NAOMI | 517 W 100 N STE 110 | PROVIDENCE | UT | 843329826 | ||
| 1245438944 | MCOMBER | PAUL | D. | 517 W 100 N STE 210 | PROVIDENCE | UT | 843329826 | |
| 1508020363 | PASSEY | CALLIN | 517 W 100 N STE 210 | PROVIDENCE | UT | 843329826 | ||
| 1003580002 | PETTERBORG | WHITNEY | 172 MEADOW CIR | LOGAN | UT | 843215095 | ||
| 1164085676 | ZURCHER | NATHAN | JAY | 1750 E 1550 N | LOGAN | UT | 843412962 |