Organization
BEAR LAKE COUNTY MEMORIAL HOSPITAL
Active
Parent organization
BEAR LAKE COUNTY MEMORIAL HOSPITAL
Other names
Bear Lake Family Care and OB/GYN
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEAR LAKE COUNTY MEMORIAL HOSPITAL
Authorized official
PATSY BOEHME (OFFICE MANAGER)
(208) 847-4410
Entity
Organization
Contact information
Practice address
465 WASHINGTON ST, MONTPELIER, ID 83254-1544
(208) 847-4495
(208) 847-4336
Mailing address
465 WASHINGTON ST, MONTPELIER, ID 83254-1544
(208) 847-4495
(208) 847-4336
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/12/2011
Last updated
08/22/2016
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