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Organization
BLMH MENTAL HEALTH
Active
Organization
BLMH MENTAL HEALTH
Active
Parent organization
BEAR LAKE COUNTY MEMORIAL HOSPITAL
Other names
Bear Lake Memorial Hospital Mental Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEAR LAKE COUNTY MEMORIAL HOSPITAL
Authorized official
SHAE JAYDEN KUNZ (OFFICE MANAGER/CREDENTIALING)
(208) 847-4464
Entity
Organization
Contact information
Practice address
455 WASHINGTON ST, STE 2, MONTPELIER, ID 83254-1600
(208) 847-4464
(208) 847-3093
Mailing address
455 WASHINGTON ST STE 2, MONTPELIER, ID 83254-1600
(208) 847-4464
(208) 847-3093
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
35
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
804083400
—
ID
05
—
805405600
—
ID
Enumeration date
06/05/2007
Last updated
08/28/2026
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