Active NPI
BMH, Inc.
Doing business as 1st Choice Urgent Care & Medical Center-Chubbuck
- Family Medicine Physician
- Pocatello, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- BMH, INC.
- Doing business as
- 1st Choice Urgent Care & Medical Center-Chubbuck
- Practice address
- 4750 Yellowstone Ave Ste a
Pocatello, ID 83202-2336 - Phone
- (208) 233-1720
- Fax
- (208) 233-2161
- NPI assigned
- Dec 4, 2023
- Last updated
- May 9, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Clinic/Center | 261Q00000X | |||
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
4750 Yellowstone Ave Ste a
Pocatello, ID 83202-2336
Mailing address
98 Poplar St
Blackfoot, ID 83221-1758
Phone (208) 782-3763
Other practice location 1
4750 Yellowstone Ave Ste B
Pocatello, ID 83202-2336
Phone (208) 232-8792
Other names 1
- 1st Choice Urgent Care & Medical Center-Chubbuck
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 - 17TH St
- Family Medicine Physician
- Idaho Falls, ID
- NPI 1215398672
O20071018000897
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 13D2305278 | 1St Choice UC & Medical Center Chubbuck | Certificate of waiver | May 28, 2028 |
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
124 N Oak St
Blackfoot, ID 83221
1350 Parkway Dr
Ste B
Blackfoot, ID 83221
235 Poplar St
Blackfoot, ID 83221
Phone (208) 785-3828
1151 Hospital Way
Ste D201
Pocatello, ID 83201
Phone (208) 478-2472
1595 Bannock Hwy
Pocatello, ID 83204
Phone (208) 238-0400
2302 E Terry St
Pocatello, ID 83201
Phone (208) 235-5910
285 Vista Dr
Ste E
Pocatello, ID 83201
Phone (208) 239-8023
444 Hospital Way
Ste 777
Pocatello, ID 83201
Phone (208) 233-4455
850 Yellowstone Ave
Pocatello, ID 83201
Phone (208) 239-8065
Practitioners & affiliated clinicians
Practitioners 177
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.
-
- Neurological Surgery Physician
- Idaho Falls, ID
- NPI 1780679126
-
- Otolaryngology Physician
- Blackfoot, ID
- NPI 1073785945
-
- Emergency Medicine Physician
- Pocatello, ID
- NPI 1306281944
-
- Primary Care Nurse Practitioner
- Blackfoot, ID
- NPI 1518543768
-
- Family Nurse Practitioner
- Blackfoot, ID
- NPI 1720580848
-
- Surgery Physician
- Idaho Falls, ID
- NPI 1376565473
-
- Internal Medicine Physician
- Chubbuck, ID
- NPI 1306371398
-
- Family Medicine Physician
- Blackfoot, ID
- NPI 1104478007
-
- Psychiatric/Mental Health Clinical Nurse Specialist
- Idaho Falls, ID
- NPI 1063008829
-
- Family Nurse Practitioner
- Chubbuck, ID
- NPI 1821792854
-
- Obstetrics & Gynecology Physician
- Pocatello, ID
- NPI 1346602893
-
- Physician Assistant
- Blackfoot, ID
- NPI 1841747540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715212800000",
"number": "1295502995",
"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": "208-782-3763",
"fax_number": "208-785-8529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4750 YELLOWSTONE AVE STE A",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832022336",
"telephone_number": "208-233-1720",
"fax_number": "208-233-2161"
}
],
"practiceLocations": [
{
"address_1": "4750 Yellowstone Ave Ste B",
"address_purpose": "LOCATION",
"city": "Pocatello",
"state": "ID",
"postal_code": "832022336",
"country_code": "US",
"telephone_number": "208-232-8792",
"fax_number": "208-233-2161",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BMH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-04",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"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": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "1st Choice Urgent Care & Medical Center-Chubbuck",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pocatello, ID
- BMH, Inc (Bingham Healthcare Pharmacy)
- BMH, Inc (Bingham Healthcare Specialty Clinic - Terry St)
- BMH, Inc. (Physicians & Surgeons Clinic of Pocatello)
- BMH, Inc. (Bingham Healthcare Specialty Clinic and Urgent Care - Yellowstone Ave)
- BMH, Inc. (Bingham Healthcare Specialty Clinic - Vista)
- BMH, Inc. (Dr. Adam Wray's Dermatology)
- Joel Bocanegra, PHD
- Body & Soul Therapy LLC
- Roger W. Boe, M.D.
- Andrew William Bohnsack, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.