Bear Lake County Memorial Hospital

NPI #1669521084 in Montpelier, Idaho

Provider Information

NPI Number
1669521084
Entity Type
Organization
Organization Name
Bear Lake County Memorial Hospital
Subpart
Yes (part of a larger organization)
Parent Organization
BEAR LAKE COUNTY MEMORIAL HOSPITAL
Primary Specialty
Home Health
Enumeration Date
Jan 9, 2007
Last Updated
Jul 14, 2015

Practice Location

Address
164 S 5TH ST
State
Idaho
ZIP Code
83254-1557
Phone
(208) 847-4454

Authorized Official

Name
MRS. SHAUNA DAWES
Title
DIRECTOR OF HOME HEALTH
Phone
(208) 847-4454

Specialties & Taxonomy Codes

Specialty
Home Health

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