OrganizationActive
Bear Lake Memorial Hospital
NPI 1639399793 · Critical Access Hospital · Montpelier, ID
Provider details
- NPI number
- 1639399793
- Entity type
- Organization
- Primary specialty
- Critical Access HospitalHospitals
- Organization subpart
- No
- Authorized official
- Bonnie Caywood, Dietitian(208) 847-1630
- License
- D-376 (ID)
Specialties & taxonomies
Hospitals
Practice location
164 S 5th St
Montpelier, ID 83254-1557
Phone: (208) 847-1630
Fax: (208) 847-2201
Approximate (ZIP-level) locationGet directions
Mailing address
164 S 5th St
Montpelier, ID 83254-1557
Registry dates
- Enumerated
- 2007-04-30
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.