Organization
BMH, INC.
Active
Other names
Bingham Memorial Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB ERICKSON (CEO)
(208) 785-3801
Entity
Organization
Contact information
Practice address
98 POPLAR ST, BLACKFOOT, ID 83221-1758
(208) 785-4100
Mailing address
98 POPLAR ST, BLACKFOOT, ID 83221-1758
(208) 785-4100
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
ID
207N00000X
Dermatology Physician
—
ID
207Q00000X
Family Medicine Physician
Primary
—
ID
207R00000X
Internal Medicine Physician
—
ID
207T00000X
Neurological Surgery Physician
—
ID
207V00000X
Obstetrics & Gynecology Physician
—
ID
207X00000X
Orthopaedic Surgery Physician
—
ID
208000000X
Pediatrics Physician
—
ID
208600000X
Surgery Physician
—
ID
208VP0000X
Pain Medicine Physician
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002854200
—
ID
01
—
8L535
BLUE CROSS GRP OLD
ID
01
—
8N219
BLUE CROSS GRP
ID
Enumeration date
07/31/2007
Last updated
12/16/2019
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