BEAR LAKE COUNTY MEMORIAL HOSPITAL NPI 1699057166

NPI Information

  • NPI: 1699057166
  • Provider Name: BEAR LAKE COUNTY MEMORIAL HOSPITAL
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: BEAR LAKE FAMILY CARE AND OB/GYN
  • CLIA Number: 13D2299635
  • Address: 465 WASHINGTON ST
    MONTPELIER, ID
    ZIP 83254
  • Phone: (208) 847-4495

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NPI Details

BEAR LAKE COUNTY MEMORIAL HOSPITAL is a rural health clinic center in Montpelier, ID. BEAR LAKE COUNTY MEMORIAL HOSPITAL NPI is 1699057166. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bear Lake Family Care And Ob/gyn.

The provider's business location address is:

465 WASHINGTON ST
MONTPELIER, ID
ZIP 83254-544
Phone: (208) 847-4495
Fax: (208) 847-4336

The provider's authorized official is Patsy Boehme .
The authorized official title is Office Manager and has the following contact phone number (208) 847-4410.

The CLIA number assigned to this NPI record is 13D2299635 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/12/2011 and was last updated on 8/22/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2207V00000XObstetrics & GynecologyNo
3261QR1300XClinic/CenterRural HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1138514MEDICARE OSCAR/CERTIFICATIONIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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