# BMH, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BINGHAM HEALTHCARE SPECIALTY CLINIC - TERRY ST
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255705786
- **Authorized official:** JACOB ERICKSON (CEO)
- **Authorized official phone:** (208) 785-3801

## Contact information

- **Practice address:** 2302 E TERRY ST, POCATELLO, ID 83201-2733
- **Practice address phone:** (208) 235-5910
- **Practice address fax:** (208) 235-5920
- **Mailing address:** 98 POPLAR ST, BLACKFOOT, ID 83221-1758
- **Mailing address phone:** (208) 785-4100
- **Mailing address fax:** (208) 785-8529

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | ID | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | ID | Yes |
| 363LF0000X | Family Nurse Practitioner | — | ID | — |

## Other

- **Enumeration date:** 11/20/2015
- **Last updated:** 04/01/2019