Bear Lake County Memorial Hospital

NPI #1174741441 in Montpelier, Idaho

Provider Information

NPI Number: 1174741441
Entity Type: Organization
Organization Name: Bear Lake County Memorial Hospital
Primary Specialty: Internal Medicine
Enumeration Date: Apr 23, 2007
Last Updated: Dec 17, 2012

Practice Location

Address: 166 S 5TH ST
City: Montpelier
State: Idaho
ZIP Code: 83254-1557
Phone: (208) 847-1110

Authorized Official

Name: LAURIE BINGHAM
Title: CONTRACT MANAGEMENT
Phone: (208) 847-4327

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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