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Organization
BMH INC.
Active
Organization
BMH INC.
Active
Other names
Bingham Healthcare Specialty Clinic - 4th St
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB ERICKSON (CEO)
(208) 785-3801
Entity
Organization
Contact information
Practice address
353 N 4TH AVE, POCATELLO, ID 83201-6390
(208) 478-7900
(208) 478-7901
Mailing address
98 POPLAR ST, BLACKFOOT, ID 83221-1758
(208) 785-4100
(208) 785-8529
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
Other
Enumeration date
03/02/2018
Last updated
02/26/2019
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