NPI age
16 years
Enumerated 2009-11-24
● Active Type 2 · Organization
Bear Lake County Memorial Hospital
Bear Lake County Memorial Hospital is 1 of 239 orthopaedic surgery organizations in Idaho.
Primary specialty
Orthopaedic Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Jacobson
Ceo
Last NPPES update
2011-01-19
Source: monthly bulk 2026-05
How this organization compares
Across 239 active orthopaedic surgery providers in Idaho.
NPI age
16 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-11Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
164 S 5th St
Montpelier, ID 832541557
Mailing address
164 S 5th St
Montpelier, ID 832541557
Authorized official
Rod Jacobson
Ceo
📞 2088471630
Individual providers at this organization
13 individual providers on file at this primary practice address.
- Richard Bergman, LSW Social Worker NPI 1386767465
- Justin Brunner, DPT Physical Therapist NPI 1225883192
- Alex Carr, FNP Nurse Practitioner NPI 1013623529
- Bonnie Caywood, RD Dietitian, Registered NPI 1235470196
- William Crane, D.P.T. Physical Therapist NPI 1821482365
- Joseph Dayton Physician Assistant NPI 1184065849
- Gregory Hyde, DPT Physical Therapist NPI 1073376323
- Jacob Lufkin, C.R.N.A. Nurse Anesthetist, Certified Registered NPI 1457741167
- Nicholas Packer, M.D. Obstetrics & Gynecology NPI 1891086377
- Houston Reynolds, MD Family Medicine NPI 1609498336
- Kasey Ward, NP Nurse Practitioner NPI 1609504356
- Lynette Williams, RPH Pharmacist NPI 1548369051
- Julie Wise, MS, LCPC, NCC Counselor NPI 1538225891
Specialties
-
Orthopaedic Surgery PrimaryAn orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Bear Lake Memorial Part B
Practice context
Multi-provider organization. 13 individual providers on file at this primary address.
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