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Organization

BMH, INC.

Active
Other names
Bingham Healthcare Specialty Clinic - Valencia
Organization subpart
No

Provider details

NPI number
Authorized official
JACOB ERICKSON (CEO)
(208) 785-3801
Entity
Organization

Contact information

Practice address
3302 VALENCIA DR STE 201, IDAHO FALLS, ID 83404-7070
(208) 524-9400
(208) 524-9401
Mailing address
98 POPLAR ST, BLACKFOOT, ID 83221-1758
(208) 782-3969
(208) 782-2984

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
ID
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
207RC0000X
Cardiovascular Disease Physician
207RG0100X
Gastroenterology Physician
207T00000X
Neurological Surgery Physician
207X00000X
Orthopaedic Surgery Physician
ID
208800000X
Urology Physician
213E00000X
Podiatrist
261Q00000X
Clinic/Center
261QP1100X
Podiatric Clinic/Center
261QU0200X
Urgent Care Clinic/Center

Other

Enumeration date
07/10/2018
Last updated
05/09/2024
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