# BEAR LAKE COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bear Lake County Ambulance Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447311139
- **Authorized official:** MRS. AMY BISHOP (COUNTY CLERK)
- **Authorized official phone:** (208) 945-2212

## Contact information

- **Practice address:** 385 CEMETARY ROAD, MONTPELIER, ID 83254
- **Practice address phone:** (307) 887-2042
- **Practice address fax:** (208) 847-1189
- **Mailing address:** PO BOX 248, MONTPELIER, ID 83254
- **Mailing address phone:** (307) 887-2042
- **Mailing address fax:** (208) 847-1189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 7602 | ID | Yes |

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 07/07/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000010014272 | BLUE SHIELD OF IDAHO | — |
| 05 | — | 002807400 | — | ID |
| 01 | — | 109956600 | MEDICAID | WY |
| 01 | — | E0062 | BLUE CROSS OF IDAHO | — |