BEAR LAKE FAMILY CARE AND OB/GYN
NPI 1699057166
Clinic/Center - Rural Health in Montpelier, ID

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

The NPI number for Bear Lake County Memorial Hospital is 1699057166. It was assigned to this organization in the NPPES registry on September 12, 2011. The provider is doing business as Bear Lake Family Care And Ob/Gyn.

Q: What is Bear Lake County Memorial Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since September 12, 2011CLIA 13D2299635 · Waiver

465 WASHINGTON ST, MONTPELIER, ID 83254(208) 847-4495(208) 847-4336 Get Directions Write a Review

NPPES record last updated: August 22, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Bear Lake Family Care And Ob/gyn NPPES

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

BEAR LAKE FAMILY CARE AND OB/GYN (NPI 1699057166) is a healthcare organization registered as a rural health in Montpelier, Idaho and active in the NPI registry since September 2011. The organization holds a CLIA Waiver certificate valid through February 22, 2028 and lists Patsy Boehme, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1699057166

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameBEAR LAKE COUNTY MEMORIAL HOSPITAL

Location Address465 WASHINGTON STMontpelier, ID 83254-1544

Mailing Address465 Washington StMontpelier, ID 83254-1544 · (208) 847-4495 · Fax (208) 847-4336

Phone(208) 847-4495

Fax(208) 847-4336

Organization SubpartYes

Authorized OfficialPatsy BoehmeOffice Manager · (208) 847-4410

Enumeration DateSeptember 12, 2011

Last NPPES UpdateAugust 22, 2016

✔ NPI 1699057166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

465 WASHINGTON ST, Montpelier, ID 83254

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Other Names 1

Doing Business AsBear Lake Family Care And Ob/gyn

Other Identifiers 1

Medicare OSCAR/certification138514ID

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

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, University of Utah Health Plans.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 of Waiver 13D2299635

Bear Lake Family Care And Ob/Gyn · Montpelier, ID

Active · expires Feb 22, 2028

CLIA Number13D2299635

Laboratory TypeRural Health Clinic

Certificate Effective DateFebruary 23, 2026

Certificate Expiration DateFebruary 22, 2028

Laboratory DirectorPeter Crane

Laboratory Phone(208) 847-4495

Laboratory LocationBear Lake Family Care And Ob/Gyn465 Washington St, Montpelier, ID 83254

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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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.

NOALL E WOLFF MD

Family Medicine