NPIMap

BMH, Inc.

Organization Active NPI Multi-Specialty Clinic/Center · Pocatello, ID

NPI 1114192986 · NPPES record last updated Dec 17, 2019

Key facts

NPI
1114192986
Entity type
Organization (NPI type 2)
Primary specialty
Multi-Specialty Clinic/Center 261QM1300X
Legal business name
BMH, INC.
Practice address
1151 Hospital Way # D-100
Pocatello, ID 83201-5091
Phone
(208) 239-8010
Fax
(208) 782-2974
NPI assigned
Apr 23, 2008
Organization subpart
No

Authorized official

Name
Jacob Erickson
Title
Ceo
Phone
(208) 785-3801

Other NPIs on the same Medicare enrollment 29

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 29

Corporate family (same tax ID) 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in ID

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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

Tax ID family
BMH Inc (27 organizations share this tax ID)

Locations

1151 Hospital Way
#D100
Pocatello, ID 83201
Phone (208) 239-8010

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP		 103T00000X
Multi-Specialty Clinic/Center 261QM1300X Yes

Addresses

Primary practice location

1151 Hospital Way # D-100
Pocatello, ID 83201-5091

Mailing address

98 Poplar St
Blackfoot, ID 83221-1758
Phone (208) 785-4100

Other identifiers

IdentifierTypeStateIssuer
002854200MedicaidID

Other names

  • Physicians & Surgeons Clinic of Pocatello Doing business as

Other providers in Pocatello, ID

All providers in Pocatello, ID · Multi-Specialty Clinic/Center in Idaho

Sources for this page

Verify at the official NPI Registry.