BMH Inc.
Organization Active NPI Nurse Practitioner · Pocatello, ID
NPI 1104332048 · NPPES record last updated Dec 14, 2017
Key facts
- NPI
- 1104332048
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nurse Practitioner 363L00000X
- Legal business name
- BMH INC.
- Practice address
- 1553 E Center St
Pocatello, ID 83201-4135 - Phone
- (208) 233-9355
- NPI assigned
- Dec 14, 2017
- Organization subpart
- No
Authorized official
- Name
- Jacob Erickson
- Title
- Ceo
- Phone
- (208) 785-3801
Other NPIs on the same Medicare enrollment 29
Practitioners 6
-
Janet Susan Garland, MSN, FNP, CANP
-
Mark L Mansfield, M.D.
-
Nicholas Merrill Packer, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071018000897 | ID | Part B Supplier - Clinic/Group Practice | 8426149758 |
Receives reassigned benefits from 183 practitioners 29 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Blackfoot, ID; Ammon, ID; Pocatello, ID; Idaho Falls, ID |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner |
363L00000X | Yes |
Addresses
Primary practice location
1553 E Center St
Pocatello, ID 83201-4135
Mailing address
98 Poplar St
Blackfoot, ID 83221-1758
Other names
- The Health and Wellness Sleep Institute of Pocatello
Other providers in Pocatello, ID
- Richard Bloxham
- Brandie Bluemel
- BMH Inc
- BMH Inc
- BMH Inc
- BMH Inc.
- BMH Inc.
- BMH Inc.
- BMH Inc.
- BMH Inc.
All providers in Pocatello, ID · Nurse Practitioner in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.