Organization
BMH, INC.
Active
Other names
BINGHAM HEALTHCARE SPECIALTY CLINIC - VISTA, BINGHAM MEMORIAL SPECIALTY CLINIC - VISTA
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB ERICKSON (CEO)
(208) 785-3801
Entity
Organization
Contact information
Practice address
285 VISTA DR, STE. E, POCATELLO, ID 83201-4987
(208) 239-8023
(208) 232-0369
Mailing address
98 POPLAR ST, BLACKFOOT, ID 83221-1758
(208) 782-3969
(208) 782-2984
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
—
ID
208VP0014X
Interventional Pain Medicine Physician
Primary
—
ID
Other
Enumeration date
02/21/2017
Last updated
04/01/2019
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