Organization
BEAR LAKE MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE COLLEEN CAYWOOD RD (DIETITIAN)
(208) 847-1630
Entity
Organization
Contact information
Practice address
164 S 5TH ST, MONTPELIER, ID 83254-1557
(208) 847-1630
(208) 847-2201
Mailing address
164 S 5TH ST, MONTPELIER, ID 83254-1557
(208) 847-1630
(208) 847-2201
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
D-376
ID
Other
Enumeration date
04/30/2007
Last updated
08/22/2020
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