Organization · Type 2 NPI

Bear Lake County Memorial Hospital

Rural Health Clinic/Center · Montpelier, ID

NPI number 1699057166 Active

Practice location

465 Washington St
Montpelier, ID 83254-1544

Fax (208) 847-4336

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Obstetrics & Gynecology Physician	207V00000X	None listed
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

5 other providers at this address

NPI record

NPI: 1699057166
Entity type: Organization (Type 2)
Issued: Sep 12, 2011
Last updated: Aug 22, 2016
Status: Active
Subpart: Yes of Bear Lake County Memorial Hospital

Other names

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Bear Lake Family Care and Ob/gyn · doing business as

Authorized official

Patsy Boehme
Office Manager
(208) 847-4410

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1699057166

Bear Lake County Memorial Hospital's National Provider Identifier is 1699057166, issued on Sep 12, 2011. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Montpelier, ID. The record was last updated on Aug 22, 2016.