Organization
BMH INC
Active
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
(208) 785-4100
Mailing address
98 POPLAR ST, BLACKFOOT, ID 83221-1758
(208) 785-4100
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
36
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010002612
BLUE SHIELD OF IDAHO
ID
05
—
002854100
—
ID
01
—
00448
BLUE CROSS OF IDAHO
ID
05
—
807808400
—
ID
Enumeration date
05/31/2007
Last updated
12/16/2019
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