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Organization
BMH, INC
Active
Organization
BMH, INC
Active
Other names
BINGHAM HEALTHCARE SPECIALTY CLINIC - TERRY ST
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB ERICKSON (CEO)
(208) 785-3801
Entity
Organization
Contact information
Practice address
2302 E TERRY ST, POCATELLO, ID 83201-2733
(208) 235-5910
(208) 235-5920
Mailing address
98 POPLAR ST, BLACKFOOT, ID 83221-1758
(208) 785-4100
(208) 785-8529
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
ID
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
ID
363LF0000X
Family Nurse Practitioner
—
ID
Other
Enumeration date
11/20/2015
Last updated
04/01/2019
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