BEAR LAKE COUNTY MEMORIAL HOSPITAL – NPI #1740370626
Clinic/Center

BEAR LAKE COUNTY MEMORIAL HOSPITAL is an AHC clinic located in MONTPELIER, ID. NPPES has assigned the NPI number 1740370626 to BEAR LAKE COUNTY MEMORIAL HOSPITAL on October 13, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BEAR LAKE COUNTY MEMORIAL HOSPITAL below.

NPI Profile for
BEAR LAKE COUNTY MEMORIAL HOSPITAL

NPI Number
1740370626
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BEAR LAKE COUNTY MEMORIAL HOSPITAL
Primary location
164 S 5TH ST
MONTPELIER, ID 83254-1557
Phone: (208) 847-4412 Fax:
Mailing address
164 SOUTH 5TH
MONTPELIER, ID 83254
Phone: (208) 847-4412 Fax: (208) 847-4425
Organization Subpart
No
Authorized Official
CAMERON MARLOWE
ASSISTANT ADMINISTRATOR
Phone: (208) 847-4429
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.