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Organization
BHG LXXXVI, LLC
Active
Organization
BHG LXXXVI, LLC
Active
Other names
BHG Medical Services - Idaho
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY KILGORE (CEO)
(214) 365-6112
Entity
Organization
Contact information
Practice address
95 UNIVERSITY AVE STE 8, OBOT ROOM #100, DES MOINES, IA 50314-3120
(515) 244-9500
(515) 244-9500
Mailing address
5001 SPRING VALLEY RD STE 600, DALLAS, TX 75244-3946
(214) 365-6100
(214) 365-6150
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
NULL
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
NULL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
NULL
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
NULL
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM2800X
Methadone Clinic
—
NULL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
NULL
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/30/2022
Last updated
09/22/2025
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