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Contact Information

BEAR LAKE COUNTY MEMORIAL HOSPITAL
465 WASHINGTON ST
MONTPELIER, ID83254-1544
 Phone: 208-847-4495
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Rural Health

261QR1300X B4[14] Rural Health Clinic
Indicates primary specialty

NPI Profile & details for BEAR LAKE COUNTY MEMORIAL HOSPITAL · (Female)

NPI Number 1811138910
Status Active
Credentials
Entity Individual
Enumeration date 03/19/2009
Last updated 10/17/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • ID Medicaid 805781800
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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