BEAR LAKE COUNTY MEMORIAL HOSPITAL
NPI 1336125533
General Acute Care Hospital - Critical Access in Montpelier, ID

NPI Status: Active since December 20, 2005

Contact Information

164 S 5TH ST
MONTPELIER, ID
ZIP 83254
Phone: (208) 847-1630
Fax: (208) 847-2201

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
General Acute Care Hospital
Critical Access
Accepts Insurance
CLIA Number: 13D0520463
CLIA Cert. Type: Hospital
CLIA Exp. Date: 04-22-2027

About BEAR LAKE COUNTY MEMORIAL HOSPITAL

This page provides the complete NPI Profile along with additional information for Bear Lake County Memorial Hospital, a provider established in Montpelier, Idaho operating as a General Acute Care Hospital, focusing in critical access . The healthcare provider is registered in the NPI registry with number 1336125533 assigned on December 2005. The practitioner's primary taxonomy code is 282NC0060X with license number 35 (ID). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Rodney Jacobson (Administrator)

NPI: 1336125533
Provider Name: BEAR LAKE COUNTY MEMORIAL HOSPITAL
Entity Type: Organization
Location Address: 164 S 5TH ST MONTPELIER, ID 83254
Location Phone: (208) 847-1630
Location Fax: (208) 847-2201
Mailing Address: 164 S 5TH ST MONTPELIER, ID 83254
Mailing Phone: (208) 847-1630
Mailing Fax: (208) 847-2201
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 12-20-2005
Last Update Date: 08-22-2020
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: General Acute Care Hospital Critical Access
Taxonomy Code: 282NC0060X
Type: Hospitals
License No.: 35
License State: ID

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

PacificSource Health Plans

Core Bronze HSA 10600 - EPO
Core Bronze HSA 7500 - EPO
Core Bronze HSA 8300 - EPO
Core Gold 1500 - EPO
Core Gold 3000 - EPO
Core Silver 3500 - EPO
Core Silver 4500 - EPO
Core Silver 5000 - EPO
Core Silver 7500 - EPO
Core Standard Expanded Bronze HSA - EPO
Core Standard Gold - EPO
Core Standard Silver - EPO
PacificSource Oregon Standard Bronze HSA Plan Core - EPO
PacificSource Oregon Standard Gold Plan Core - EPO
PacificSource Oregon Standard Silver Plan Core - EPO

Providence Health Plan

HSA Qualified 7500 Bronze - Choice Network - EPO
HSA-E Qualified 7500 Bronze - Signature Network - EPO
Providence Oregon Standard Bronze Plan - Choice Network - EPO
Providence Oregon Standard Bronze Plan - Signature Network - EPO
Providence Oregon Standard Gold Plan - Choice Network - EPO
Providence Oregon Standard Gold Plan - Signature Network - EPO
Providence Oregon Standard Silver Plan - Choice Network - EPO
Providence Oregon Standard Silver Plan - Signature Network - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MR. RODNEY JACOBSON
Authorized Official Title: ADMINISTRATOR
Authorized Official Phone: (208) 847-4402

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 13D0520463
Facility Type: Hospital
Certificate Effective Date: April 23, 2025
Certificate Expiration Date: April 22, 2027
Laboratory Director: CLARK R. DAINES
Certificate Type: Certificate of Compliance
Certificate Type Description: This CLIA certificate is issued to Bear Lake County Memorial Hospital after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1336125533, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 6

Pos 4

Unchanged

Pos 5

Doubled → 2

Pos 6

Unchanged

Pos 7

Doubled → 10 → 1 + 0

Pos 8

Unchanged

Pos 9

Doubled → 6

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 1 → 2 5 → 10 → 1 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 6 + 6 + 2 + 2 + 1 + 0 + 5 + 6 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3

This NPI is valid

The calculated check digit is 3, which matches the last digit of 1336125533.