# BMH, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mountain River Medical Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922205608
- **Authorized official:** LISA RUDOLPH (PSO SUPPORT SPECIALIST)
- **Authorized official phone:** (208) 782-3992

## Contact information

- **Practice address:** 98 POPLAR ST, BLACKFOOT, ID 83221-1758
- **Practice address phone:** (208) 785-5801
- **Mailing address:** 98 POPLAR ST, BLACKFOOT, ID 83221-1758
- **Mailing address phone:** (208) 785-5801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207N00000X | Dermatology Physician | — | NULL | — |
| 207N00000X | Dermatology Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |

## Other

- **Enumeration date:** 06/27/2007
- **Last updated:** 02/18/2009