NPI | 1538916333 |
---|---|
Doing Business As | BLMH BEAR LAKE CLINIC |
Entity Type | Organization |
Authorized Contact | AREL LYNN HUNT CEO 208-847-1630 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 207Q00000X Family Medicine |
207X00000X Orthopaedic Surgery | |
225100000X Physical Therapist | |
225X00000X Occupational Therapist | |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2024-05-01 |
Last Update Date | 2024-05-01 |