OrganizationActive
Bear Lake County Memorial Hospital
NPI 1376871749 · Orthopaedic Surgery Physician · Montpelier, ID
Provider details
- NPI number
- 1376871749
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Rod Jacobson, Ceo(208) 847-1630
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
164 S 5th St
Montpelier, ID 83254-1557
Phone: (208) 847-4354
Fax: (208) 847-2201
Approximate (ZIP-level) locationGet directions
Mailing address
164 S 5th St
Montpelier, ID 83254-1557
Other names (DBA / former)
- Other name
- Bear Lake Memorial Part B
Registry dates
- Enumerated
- 2009-11-24
- Last updated
- 2011-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.