Organization
BMH, INC.
Active
Other names
Physicians & Surgeons Clinic of Pocatello
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB ERICKSON (CEO)
(208) 785-3801
Entity
Organization
Contact information
Practice address
1151 HOSPITAL WAY # D-100, POCATELLO, ID 83201-5091
(208) 239-8010
(208) 782-2974
Mailing address
98 POPLAR ST, BLACKFOOT, ID 83221-1758
(208) 785-4100
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002854200
—
ID
Enumeration date
04/23/2008
Last updated
12/17/2019
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