NPI age
19 years
Enumerated 2007-04-23
● Active Type 2 · Organization
Subpart
Bear Lake County Memorial Hospital
Bear Lake County Memorial Hospital is 1 of 55 general acute care hospital organizations in Idaho.
Primary specialty
General Acute Care Hospital
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bingham
Credentialing Specialists
Last NPPES update
2011-08-04
Source: monthly bulk 2026-05
How this organization compares
Across 55 active general acute care hospital providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-04Enumerated in NPPES
2007
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
Laurie Bingham
Credentialing Specialists
📞 2088474327
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
-
General Acute Care Hospital PrimaryDefinition to come.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 002852800 |
Practice context
Multi-provider organization. 13 individual providers on file at this primary address.
Subpart of Bear Lake County Memorial Anesthesia.
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