Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bear Lake County Memorial Hospital

Organization Orthopaedic Surgery Physician · NPI 1376871749

Bear Lake County Memorial Hospital is an Orthopaedic Surgery Physician in Montpelier, Idaho. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

164 S 5th St
Montpelier, ID 83254-1557
Phone: (208) 847-4354
Fax: (208) 847-2201
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X

Record details

NPI number1376871749
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rod Jacobson — Ceo · (208) 847-1630
Other names Bear Lake Memorial Part B
NPI enumeratedNovember 24, 2009
Last updated in NPPESJanuary 19, 2011
Mailing address164 S 5th St, Montpelier, ID 83254-1557