Public record

CMS Home Health Agency All Owners

Associate id: 5395799860 · 3 matching records

Enrollment id
O20050503001168
Associate id
5395799860
Organization name
BEAR LAKE COUNTY MEMORIAL HOSPITAL
Associate id - owner
3577530724
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
1993-12-14
Organization name - owner
BEAR LAKE COUNTY
Doing business as name - owner
BEAR LAKE COUNTY AMBULANCE SERVICE
Address line 1 - owner
7 E CENTER ST
City - owner
PARIS
State - owner
ID
Zip code - owner
832617718
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
Y
Other type text - owner
COUNTY-GOVERNMENT
Enrollment id
O20050503001168
Associate id
5395799860
Organization name
BEAR LAKE COUNTY MEMORIAL HOSPITAL
Associate id - owner
4284766197
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2009-06-28
First name - owner
LESLIE
Last name - owner
CRANE
Enrollment id
O20050503001168
Associate id
5395799860
Organization name
BEAR LAKE COUNTY MEMORIAL HOSPITAL
Associate id - owner
5395799860
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
1993-12-14
Organization name - owner
BEAR LAKE COUNTY MEMORIAL HOSPITAL
Doing business as name - owner
BLMH BEAR LAKE CLINIC
Address line 1 - owner
164 S 5TH ST
City - owner
MONTPELIER
State - owner
ID
Zip code - owner
832541557
Percentage ownership
100
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
Y
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N

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