Active NPI
BMH, Inc
Doing business as Bingham Healthcare Specialty Clinic - 17TH St
- Family Medicine Physician
- Idaho Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- BMH, INC
- Doing business as
- Bingham Healthcare Specialty Clinic - 17TH St
Bingham Memorial Family Medicine (4) - Practice address
- 1740 E 17TH St
Idaho Falls, ID 83404-6365 - Phone
- (208) 535-3615
- Fax
- (208) 523-5343
- NPI assigned
- Mar 14, 2016
- Last updated
- Dec 17, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacob Erickson
- Title
- Ceo
- Phone
- (208) 785-3801
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ID | Primary |
Addresses
Primary practice location
1740 E 17TH St
Idaho Falls, ID 83404-6365
Mailing address
98 Poplar St
Blackfoot, ID 83221-1758
Phone (208) 782-3969
Other names 2
- BINGHAM HEALTHCARE SPECIALTY CLINIC - 17TH ST
- BINGHAM MEMORIAL FAMILY MEDICINE (4)
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| 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 |
Other NPIs on the same Medicare enrollment 29
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Bingham Memorial Specialists
- Surgery Physician
- Blackfoot, ID
- NPI 1164611430
O20071018000897
-
dba 1st Choice Urgent Care & Medical Clinic at Lincoln Square
- Family Medicine Physician
- Idaho Falls, ID
- NPI 1174091896
O20071018000897
-
dba Lamere Woman's Care Centre
- Obstetrics & Gynecology Physician
- Pocatello, ID
- NPI 1790948040
O20071018000897
-
dba First Choice Urgent Care and Medical Clinic
- Rural Health Clinic/Center
- Blackfoot, ID
- NPI 1922243088
O20071018000897
-
dba The Health and Wellness Sleep Institute of Pocatello
- Nurse Practitioner
- Pocatello, ID
- NPI 1104332048
O20071018000897
-
dba Bingham Healthcare Specialty Clinic - 4th St
- Family Medicine Physician
- Pocatello, ID
- NPI 1134621436
O20071018000897
-
dba Superior Health Clinic
- Primary Care Clinic/Center
- Pocatello, ID
- NPI 1285936781
O20071018000897
-
dba 1st Choice Urgent Care Bannock Highway
- Multi-Specialty Clinic/Center
- Pocatello, ID
- NPI 1548727571
O20071018000897
-
dba Pocatello Women's Health Clinic
- Obstetrics & Gynecology Physician
- Pocatello, ID
- NPI 1659887511
O20071018000897
-
dba Clifford Family Medicine
- Family Medicine Physician
- Pocatello, ID
- NPI 1881190650
O20071018000897
-
dba Bingham Healthcare Specialty Clinic-Martha
- Surgery Physician
- Idaho Falls, ID
- NPI 1922512722
O20071018000897
-
dba Bingham Healthcare Specialty Clinic - Terry St
- Endocrinology, Diabetes & Metabolism Physician
- Pocatello, ID
- NPI 1255705786
O20071018000897
National Provider Directory
National Provider Directory- Tax ID family
- BMH Inc
Other organizations with this tax ID 27
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Bingham Memorial Extended Care Facility
- Skilled Nursing Facility
- Blackfoot, ID
- NPI 1992785307
-
dba Physicians and Surgeons of Shelley
- Rural Health Clinic/Center
- Shelley, ID
- NPI 1366630949
-
- Medicare Defined Swing Bed Hospital Unit
- Blackfoot, ID
- NPI 1689876781
-
- Critical Access Hospital
- Pocatello, ID
- NPI 1972412021
-
- Critical Access Hospital
- Blackfoot, ID
- NPI 1982805271
-
dba Bingham Memorial Specialist of Idaho Falls
- Pain Medicine Physician
- Idaho Falls, ID
- NPI 1073032413
-
dba Idaho Orthopaedic & Sports Clinic, P.A.
- Sports Medicine (Orthopaedic Surgery) Physician
- Pocatello, ID
- NPI 1114445087
-
dba 1st Choice Urgent Care Bannock Highway
- Multi-Specialty Clinic/Center
- Pocatello, ID
- NPI 1548727571
-
dba Pocatello Women's Health Clinic
- Obstetrics & Gynecology Physician
- Pocatello, ID
- NPI 1659887511
Locations
1740 E 17th St
Idaho Falls, ID 83404
Phone (208) 346-8866
Practitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Pocatello, ID
- NPI 1013282169
-
- Family Nurse Practitioner
- Blackfoot, ID
- NPI 1023803772
-
- Anatomic Pathology & Clinical Pathology Physician
- Blackfoot, ID
- NPI 1871758177
-
- Surgical Physician Assistant
- Blackfoot, ID
- NPI 1669556213
-
- Nurse Practitioner
- Chubbuck, ID
- NPI 1255947255
-
- Rheumatology Physician
- Fort Wayne, IN
- NPI 1306812656
-
- Obstetrics & Gynecology Physician
- Peoria, IL
- NPI 1376787523
-
- Otolaryngology Physician
- Great Falls, MT
- NPI 1518101443
-
- Family Medicine Physician
- Boise, ID
- NPI 1992248355
-
- Family Medicine Physician
- Pocatello, ID
- NPI 1568087435
-
- Family Medicine Physician
- Bradenton, FL
- NPI 1417392697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457913600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576540800000",
"number": "1215398672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98 POPLAR ST",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "832211758",
"telephone_number": "208-782-3969",
"fax_number": "208-782-2984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1740 E 17TH ST",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834046365",
"telephone_number": "208-535-3615",
"fax_number": "208-523-5343"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BMH, INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-14",
"last_updated": "2019-12-17",
"certification_date": "2019-12-17",
"status": "A",
"authorized_official_last_name": "ERICKSON",
"authorized_official_first_name": "JACOB",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "208-785-3801"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BINGHAM HEALTHCARE SPECIALTY CLINIC - 17TH ST",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BINGHAM MEMORIAL FAMILY MEDICINE (4)",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Idaho Falls, ID
- Richard Alan Blatter, D.O.
- Anna Blonquist, NP-C
- BMH Inc (1st Choice Urgent Care & Medical Clinic at Lincoln Square)
- BMH Inc. (Bingham Memorial Specialist of Idaho Falls)
- BMH Inc. (Bingham Healthcare Specialty Clinic-Martha)
- BMH, Inc.
- BMH, Inc. (Bingham Healthcare Specialty Clinic - Valencia)
- BMH, Inc. (Bingham Healthcare Specialty Clinic - Washington)
- Patsy Ruth Boatright, RN
- Ben Bodily, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.