Bear Lake County Memorial Hospital in Montpelier ID

Bear Lake County Memorial Hospital is an orthopedic surgery with a current address of 164 S 5th St Montpelier ID 83254-1557. The NPI is 1376871749, and the license number is (). It was issued on 11/24/2009. The primary taxonomy code for the clinic is 207X00000X. The provider is registered as an organization, and the NPI number was last updated on 01/19/2011.

 

Bear Lake County Memorial Hospital can be reached by phone at 2088474354, by mail at 164 S 5th St Montpelier ID 83254-1557, or by fax at 2088472201.

 

Rod Jacobson (Ceo) is the authorized representative of the organization and can be reached at this phone number: 2088471630.

Name: Bear Lake County Memorial Hospital

Specialization: Orthopedic Surgery

Provider Entity Type: Organization

Is Organization Subpart: No

Authorized Name: Rod Jacobson

Authorized Title/Position: Ceo

Contact Number: 2088471630

 

Practice Location Address:

164 S 5th St

Montpelier

ID 83254-1557

Telephone Number: 2088474354

Fax Number: 2088472201

Mailing Address:

164 S 5th St

Montpelier

ID 83254-1557

Telephone Number: 2088474354

Fax Number: 2088472201

 

NPI is an abbreviation for National Provider Identifier. The NPI is a unique 10-digit identification number. The NPI number does not contain personally identifiable information, such as a provider’s specialty or location. The NPI is assigned to individuals or organizations for their lifetime and is unaffected by updates to key provider information, such as a change in practice, location, or specialty.

NPI Number: 1376871749

Enumeration Date: 11/24/2009

Last Update: 01/19/2011

 

The NPI record includes the health care provider’s taxonomy classification, state license number, and state of licensure. Health care providers choose their own taxonomy codes. Their specialty is determined by their level of education and training. The taxonomy codes do not indicate what services the healthcare provider provides. The levels of the code set are organized in such a way that it is possible to navigate from the generic classification to the most specific level of specialization of a provider.

Primary Taxonomy Code: 207X00000X

License Number:

License State:

 

Taxonomy Group: 193200000x Multi-Specialty Group

 

Other Taxonomy (if any):

 

Providers may hold one or more medical licenses in the same state or in different states for different specialties.

Identifier:

Code Type:

Identifier State:

Identifier Issuer:

 

Other Identifiers (if any):