Organization
BEAR LAKE COUNTY MEMORIAL HOSPITAL
Active
Organization
BEAR LAKE COUNTY MEMORIAL HOSPITAL
Active
Other names
Bear Lake Memorial Part B
Organization subpart
No
Provider details
NPI number
Authorized official
ROD JACOBSON (CEO)
(208) 847-1630
Entity
Organization
Contact information
Practice address
164 S 5TH ST, MONTPELIER, ID 83254-1557
(208) 847-4354
(208) 847-2201
Mailing address
164 S 5TH ST, MONTPELIER, ID 83254-1557
(208) 847-4354
(208) 847-2201
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
11/24/2009
Last updated
01/19/2011
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