| Bear Lake Internal Medicine | |
|
166 S 5th St Montpelier ID 83254-1557 | |
| (208) 847-1110 | |
| (208) 847-0228 |
| Full Name | Bear Lake Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 166 S 5th St, Montpelier, Idaho |
| Authorized Official Name and Position | Laurie Bingham (CONTRACT MANAGEMENT) |
| Authorized Official Contact | 2088474327 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bear Lake Internal Medicine 166 S 5th St Montpelier ID 83254-1557 Ph: (208) 847-1110 | Bear Lake Internal Medicine 166 S 5th St Montpelier ID 83254-1557 Ph: (208) 847-1110 |
| NPI Number | 1174741441 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 12/17/2012 |
| Medicare PECOS PAC ID | 5395799860 |
|---|---|
| Medicare Enrollment ID | O20050429000989 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174741441 | NPI | - | NPPES |
| 806833500 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M7743 (Idaho) | Primary |
Bear Lake Community Health Center-montpelier Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 152 S 4th St, Montpelier, ID 83254 Phone: 208-847-2108 Fax: 208-847-2109 | |
Noall E Wolff Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 465 Washington St, Montpelier, ID 83254 Phone: 208-847-2878 Fax: 208-847-2340 | |
Clay I. Campbell M.d.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 166 S 5th St, Montpelier, ID 83254 Phone: 208-847-3847 Fax: 208-847-1620 | |
Bear Lake Family Care And Ob/gyn Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 465 Washington St, Montpelier, ID 83254 Phone: 208-847-4495 Fax: 208-847-4336 | |
Bear Lake Family Care And Ob/gyn Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 465 Washington St, Montpelier, ID 83254 Phone: 208-847-4495 | |
Health West, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 152 S 4th St, Montpelier, ID 83254 Phone: 208-847-2108 |