Bear Lake Memorial Hospital Pharmacy
LBN: Bear Lake County Memorial Hospital
Bear Lake Memorial Hospital Pharmacy is an health care organization with primary practice located at 164 S 5Th St , Montpelier ID 83254-1557. The organization recently has 2 registered licenses in different health care specialties including Hospitals / Critical Access, Suppliers / Institutional Pharmacy. Hospitals / Critical Access is the primary health care specialty.
Bear Lake County Memorial Hospital can be contacted via phone (208) 847-1630, or through Williams, Lynette Dawn via phone (208) 847-1630.
Contact Information
Primary practice address
164 S 5Th St
Montpelier ID 83254-1557
Phone: (208) 847-1630
Fax: (208) 847-4475
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Hospitals / Critical Access | 282NC0060X | HP555 | Idaho |
| Suppliers / Institutional Pharmacy | 3336I0012X | 555HP | Idaho |
Profile Details
| NPI number | 1699814574 |
|---|---|
| LBN Legal business name | Bear Lake County Memorial Hospital |
| DBA Doing business as | Bear Lake Memorial Hospital Pharmacy |
| Authorized official | Williams, Lynette Dawn RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Oct 7th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699814574 | NPPES |
| Idaho | Other | 555HP | HOSPITAL PHARMACY |
| Idaho | MEDICAID | 002852700 | HOSPITAL PHARMACY |
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