Organization
BMH, INC.
Active
Organization
BMH, INC.
Active
Other names
BINGHAM MEMORIAL SPECIALTY CLINIC - WASHINGTON, BINGHAM HEALTHCARE SPECIALTY CLINIC - WASHINGTON
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB ERICKSON (CEO)
(208) 785-3801
Entity
Organization
Contact information
Practice address
3760 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7593
(208) 535-3637
(208) 522-2705
Mailing address
98 POPLAR ST, BLACKFOOT, ID 83221-1758
(208) 782-3969
(208) 782-2984
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
ID
208600000X
Surgery Physician
—
ID
208VP0014X
Interventional Pain Medicine Physician
—
ID
Other
Enumeration date
02/21/2017
Last updated
12/18/2019
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