Organization
BEAR LAKE COUNTY
Active
Other names
Bear Lake County Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY BISHOP (COUNTY CLERK)
(208) 945-2212
Entity
Organization
Contact information
Practice address
385 CEMETARY ROAD, MONTPELIER, ID 83254
(307) 887-2042
(208) 847-1189
Mailing address
PO BOX 248, MONTPELIER, ID 83254
(307) 887-2042
(208) 847-1189
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
7602
ID
Other
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
—
Enumeration date
12/13/2006
Last updated
07/07/2025
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