Bear Lake Manor

LBN: Bear Lake Memorial Hospital
Bear Lake Manor is an health care organization with primary practice located at 855 Boise St , Montpelier ID 83254-1070. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Bear Lake Memorial Hospital can be contacted via phone (208) 847-2400, or through Messerly, Ryan via phone (208) 847-0920.

Contact Information

Primary practice address
855 Boise St Montpelier ID 83254-1070
Phone: (208) 847-2400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Messerly, Ryan
Phone: (208) 847-0920

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X RC-738 Idaho

Profile Details

NPI number 1740598614
LBN Legal business name Bear Lake Memorial Hospital
DBA Doing business as Bear Lake Manor
Authorized official Messerly, Ryan
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2010
Last updated Sep 14th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740598614 NPPES
Idaho MEDICAID 806513000

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