BEAR LAKE INTERNAL MEDICINE
NPI 1174741441
Internal Medicine in Montpelier, ID

Active since April 23, 2007CLIA 13D0890013 · Microscopy
166 S 5TH ST, MONTPELIER, ID 83254(208) 847-1110(208) 847-0228 Get Directions Write a Review

NPPES record last updated: December 17, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bear Lake Internal Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEAR LAKE INTERNAL MEDICINE (NPI 1174741441) is a healthcare organization registered as an internal medicine in Montpelier, Idaho and active in the NPI registry since April 2007. The organization holds a CLIA Microscopy certificate valid through August 9, 2026 and lists Laurie Bingham, Contract Management, as its authorized official.

NPPES Registry Identity

NPI1174741441
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBEAR LAKE COUNTY MEMORIAL HOSPITAL
Location Address166 S 5TH STMontpelier, ID 83254-1557
Mailing Address166 S 5th StMontpelier, ID 83254-1557 · (208) 847-1110 · Fax (208) 847-0228
Fax(208) 847-0228
Organization SubpartNo
Authorized OfficialLaurie BinghamContract Management · (208) 847-4327
Enumeration DateApril 23, 2007
Last NPPES UpdateDecember 17, 2012
NPI 1174741441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in ID · M7743
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

166 S 5TH ST, Montpelier, ID 83254

Other Names 1

Doing Business AsBear Lake Internal Medicine

Other Identifiers 4

Medicare ID-Type Unspecified138505ID · Rural Health Clinic
Medicare OSCAR/certification138505ID
Medicare OSCAR/certificationDA3027ID
Medicaid806833500ID

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 13D0890013

Bear Lake Internal Medicine · Montpelier, ID
Active · expires Aug 9, 2026
CLIA Number13D0890013
Laboratory TypeRural Health Clinic
Certificate Effective DateAugust 10, 2024
Certificate Expiration DateAugust 9, 2026
Laboratory DirectorTrevor Jacobson
Laboratory Phone(208) 847-4410
Laboratory LocationBear Lake Internal Medicine166 S 5th St, Montpelier, ID 83254
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
166 S 5TH ST
MONTPELIER, ID 83254
Family Medicine
166 S 5TH ST
MONTPELIER, ID 83254
Family Medicine
166 S 5TH ST
MONTPELIER, ID 83254
Surgery
166 S 5TH ST
MONTPELIER, ID 83254
Family Medicine
166 S 5TH ST
MONTPELIER, ID 83254

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bear Lake County Memorial Hospital's NPI number?

The NPI number for Bear Lake County Memorial Hospital is 1174741441. It was assigned to this organization in the NPPES registry on April 23, 2007. The provider is doing business as Bear Lake Internal Medicine.

Where is Bear Lake County Memorial Hospital located?

Bear Lake County Memorial Hospital is located at 166 S 5th St, Montpelier, ID 83254. The listed phone number is (208) 847-1110.

What is Bear Lake County Memorial Hospital's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Bear Lake County Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 13D0890013) is associated with this NPI, valid through August 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bear Lake County Memorial Hospital accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Bear Lake County Memorial Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bear Lake County Memorial Hospital was last updated on December 17, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.