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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
251S00000X
Community/Behavioral Health Agency
Primary
35
ID
251S00000X
Community/Behavioral Health Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
804083400
ID
05
805405600
ID
Enumeration date
06/05/2007
Last updated
12/13/2023
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