Organization
BMH, INC
Active
Other names
BINGHAM HEALTHCARE SPECIALTY CLINIC - 17TH ST, BINGHAM MEMORIAL FAMILY MEDICINE (4)
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB ERICKSON (CEO)
(208) 785-3801
Entity
Organization
Contact information
Practice address
1740 E 17TH ST, IDAHO FALLS, ID 83404-6365
(208) 535-3615
(208) 523-5343
Mailing address
98 POPLAR ST, BLACKFOOT, ID 83221-1758
(208) 782-3969
(208) 782-2984
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
ID
Other
Enumeration date
03/14/2016
Last updated
12/17/2019
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