BEAR LAKE COUNTY MEMORIAL HOSPITAL (NPI# 1619195989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619195989 |
| Entity Type | Organization |
| Organization Name | BEAR LAKE COUNTY MEMORIAL HOSPITAL |
| Practice Address |
164 S 5th St Montpelier ID 83254-1557 |
| Practice Telephone | 2088474327 |
| Practice Fax Number | 2088474334 |
| Mailing Telephone | 2088474327 |
| Mailing Fax Number | 2088474334 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2011-08-04 |
| Authorized Official Name | MRS. LAURIE BINGHAM (CREDENTIALING SPECIALISTS) |
| Authorized Official Telephone | 2088474327 |
| Is Organization Subpart | Y |
| Parent Organization Name | BEAR LAKE COUNTY MEMORIAL ANESTHESIA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
35 | ID | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 002852800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447452800 | Bear Lake County Memorial Hospital | Community/Behavioral Health | 822 Washington St, Montpelier, ID 83254-1423 | 2007-06-05 |
| 1336125533 | Bear Lake County Memorial Hospital | General Acute Care Hospital | 164 S 5th St, Montpelier, ID 83254-1557 | 2005-12-20 |
| 1699057166 | Bear Lake County Memorial Hospital | Family Medicine | 465 Washington St, Montpelier, ID 83254-1544 | 2011-09-12 |
| 1376871749 | Bear Lake County Memorial Hospital | Orthopaedic Surgery | 164 S 5th St, Montpelier, ID 83254-1557 | 2009-11-24 |
| 1811138910 | Bear Lake County Memorial Hospital | Obstetrics & Gynecology | 465 Washington St, Montpelier, ID 83254-1544 | 2009-03-19 |
| 1174741441 | Bear Lake County Memorial Hospital | Internal Medicine | 166 S 5th St, Montpelier, ID 83254-1557 | 2007-04-23 |
| 1699814574 | Bear Lake County Memorial Hospital | Pharmacy | 164 S 5th St, Montpelier, ID 83254-1557 | 2007-02-06 |
| 1669521084 | Bear Lake County Memorial Hospital | Home Health | 164 S 5th St, Montpelier, ID 83254-1557 | 2007-01-09 |
| 1740370626 | Bear Lake County Memorial Hospital | Clinic/Center | 164 S 5th St, Montpelier, ID 83254-1557 | 2006-10-13 |
| 1659461531 | Bear Lake County Memorial Hospital | Skilled Nursing Facility | 164 S 5th St, Montpelier, ID 83254-1557 | 2006-10-13 |
| Street Address |
164 S 5TH ST |
| City | MONTPELIER |
| State | ID |
| Zip Code | 83254-1557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336125533 | Bear Lake County Memorial Hospital | General Acute Care Hospital | 164 S 5th St, Montpelier, ID 83254-1557 | 2005-12-20 |
| 1821482365 | William Crane | Physical Therapist | 164 S 5th St, Montpelier, ID 83254-1557 | 2015-03-23 |
| 1457741167 | Jacob L. Lufkin | Registered Nurse | 164 S 5th St, Montpelier, ID 83254-1597 | 2015-02-02 |
| 1184065849 | Joseph Dayton | Physician Assistant | 164 S 5th St, Montpelier, ID 83254-1557 | 2013-07-10 |
| 1235470196 | Bonnie Colleen Caywood | Dietitian, Registered | 164 S 5th St, Montpelier, ID 83254-1557 | 2013-03-01 |
| 1376871749 | Bear Lake County Memorial Hospital | Orthopaedic Surgery | 164 S 5th St, Montpelier, ID 83254-1557 | 2009-11-24 |
| 1639399793 | Bear Lake Memorial Hospital | General Acute Care Hospital | 164 S 5th St, Montpelier, ID 83254-1557 | 2007-04-30 |
| 1386767465 | Richard Bergman | Social Worker | 164 S 5th St, Montpelier, ID 83254-1557 | 2007-04-06 |
| 1699814574 | Bear Lake County Memorial Hospital | Pharmacy | 164 S 5th St, Montpelier, ID 83254-1557 | 2007-02-06 |
| 1669521084 | Bear Lake County Memorial Hospital | Home Health | 164 S 5th St, Montpelier, ID 83254-1557 | 2007-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366597866 | Joseph F Decker Professional Corp | Surgery | 164 S 5th, Montpelier, ID 83254 | 2007-01-24 |
| 1447311139 | Bear Lake County | Ambulance | 385 Cemetary Road, Montpelier, ID 83254 | 2006-12-13 |
| 1073685343 | Steven D Hammond | Dentist | 455 Washington St, Montpelier, ID 83254 | 2006-11-14 |
| 1982610549 | Dorian S Grunig | Nurse Anesthetist, Certified Registered | 164 South 5th, Montpelier, ID 83254 | 2006-08-01 |
| 1104840412 | Harold A Olson | Pharmacist | 765 Washington St., Montpelier, ID 83254 | 2006-07-27 |
| 1033603345 | Sydnie M Hobbs | Nurse Practitioner | 152 S 4th St, Montpelier, ID 83254 | 2018-06-20 |
| 1265505705 | Robert D Degnan | Obstetrics & Gynecology | 742 Washington St, Montpelier, ID 83254 | 2006-11-15 |
| 1952491714 | Gary Scott Griffin | Nurse Anesthetist, Certified Registered | 164 South 5th, Montpelier, ID 83254 | 2006-10-13 |
| 1013027952 | Matthew Brinton Stevens | Chiropractor | 710 N 4th St, Montpelier, ID 83254-1050 | 2006-08-30 |
| 1265542435 | Reset P.a. | Chiropractor | 710 N 4th St, Montpelier, ID 83254-1050 | 2006-08-30 |
| Find all providers in zip 83254 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336125533 | Bear Lake County Memorial Hospital | General Acute Care Hospital | 164 S 5th St, Montpelier, ID 83254-1557 | 2005-12-20 |
| 1639399793 | Bear Lake Memorial Hospital | General Acute Care Hospital | 164 S 5th St, Montpelier, ID 83254-1557 | 2007-04-30 |
| 1275575227 | Community Hospitals and Wellness Centers | General Acute Care Hospital | 909 E Snyder Ave, Montpelier, OH 43543-1251 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851761464 | Brent Leavitt | General Acute Care Hospital | 4928 Pleasant View Dr, Chubbuck, ID 83202-1640 | 2015-09-25 |
| 1053669598 | Teton Valley Health Care, Inc | General Acute Care Hospital | 120 E Howard Avenue, Driggs, ID 83422-5112 | 2012-08-15 |
| 1639406267 | Florence Hospital, LLC | General Acute Care Hospital | 1300 E State St, Suite 102, Eagle, ID 83616-7059 | 2009-11-03 |
| 1912132176 | Initiatives Healthcare, LLC | General Acute Care Hospital | 1205 N 11th St, Boise, ID 83702-4102 | 2009-05-18 |
| 1417122821 | Elmore Medical Center Specialty Physician Group | General Acute Care Hospital | 890 N 6th E, Mountain Home, ID 83647-2206 | 2008-04-25 |
| 1275703241 | North Canyon Medical Center, Inc. | General Acute Care Hospital | 267 North Canyon Drive, Gooding, ID 83330-1858 | 2008-03-06 |
| 1720298102 | Weiser Valley Hospital District | General Acute Care Hospital | 645 E. 5th Street, Weiser, ID 83672-2202 | 2007-05-23 |
| 1548320435 | Benewah Community Hospital | General Acute Care Hospital | 229 South 7th St, St Maries, ID 83861 | 2006-12-11 |
| 1295769537 | Gooding County Hospital District | General Acute Care Hospital | 1120 Montana St, Gooding, ID 83330-1858 | 2006-07-11 |
| 1881641629 | Weiser Valley Hospital District | General Acute Care Hospital | 645 E. 5th St., Weiser, ID 83672-2202 | 2006-05-27 |
| Find all providers with the same taxonomy | ||||
| City | MONTPELIER |
| Zip Code | 83254 |
Please comment or provide details below to improve the information on BEAR LAKE COUNTY MEMORIAL HOSPITAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.