Bear Lake County Memorial Hospital

A Medicare group practice based in Montpelier, ID: 11 NPIs enrolled under one PECOS associate control ID (PAC ID 5395799860), with 44 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5395799860The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - End-Stage Renal Disease Facility (ESRD), Part A Provider - Home Health Agency, Part A Provider - Rural Health Clinic, Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group
Enrolled in
ID, UT
Enrollments
10
Group size
31 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
15In 4 places

Enrollment records 10

Enrollment IDStateProvider typeNPI
O20111128000695 ID Part A Provider - Rural Health Clinic 1699057166
O20161130000118 ID Part B Supplier - Mammography Center 1336125533
O20050912000358 UT Part B Supplier - Clinic/Group Practice 1538916333
O20050503001168 ID Part A Provider - Home Health Agency 1669521084
O20050503001200 ID Part A Provider - Skilled Nursing Facility 1568552446
O20050429000989 ID Part A Provider - Rural Health Clinic 1174741441
O20071003000677 ID Part B Supplier - Clinic/Group Practice 1174741441
O20071009000617 ID Part A Provider - Critical Access Hospital 1659461531
O20061104000470 ID Part A Provider - Critical Access Hospital 1336125533
O20060412000785 ID Part A Provider - End-Stage Renal Disease Facility (ESRD) 1740370626

NPIs in this group 11

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 44

Clinicians who reassign their Medicare benefits to this group (44) or whom Care Compare lists as members (31).

Sources for this page