BMH, Inc.
Organization Active NPI Family Medicine Physician · Pocatello, ID
NPI 1295502995 · NPPES record last updated May 9, 2024
Key facts
- NPI
- 1295502995
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- BMH, INC.
- Practice address
- 4750 Yellowstone Ave Ste a
Pocatello, ID 83202-2336 - Phone
- (208) 233-1720
- Fax
- (208) 233-2161
- NPI assigned
- Dec 4, 2023
- Organization subpart
- No
Authorized official
- Name
- Jacob Erickson
- Title
- Ceo
- Phone
- (208) 785-3801
Other NPIs on the same Medicare enrollment 29
Corporate family (same tax ID) 26
Practitioners 177
-
Clark Hunter Allen, M.D.
-
Morgan Newel Anderson, D.O.
-
Candiss L Aschenbrenner, APRN-CNP
-
Shandra Dee Averett, FNP-C
-
Eric G Baird, M.D.
-
Tarek Barbar, M.D.
-
Shad T Bateman, DO
-
Todd Bates, PMHNP
-
Brian Andrew Beach, FNP-C
-
Anthony R Berrett, PA-C
-
Lynette Mardel Brown, M.D., PH.D.
-
Thomas Call, DO
-
Brian Carrigan, MD
-
Wade K Christensen, P.A.
-
Jacob Clawson, MD
-
Aaron Clayson, AG-NP
-
Kyle L Clifford, MD
-
Robert Louis Coray, M.D.
-
Kaitlin L Cox, PA
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 13D2305278 | 1St Choice UC & Medical Center Chubbuck | Certificate of waiver | May 28, 2028 |
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
- Tax ID family
- BMH Inc
Locations
1350 Parkway Dr
Ste 2
Blackfoot, ID 83221
Phone (208) 782-2410
124 N Oak St
Blackfoot, ID 83221
1350 Parkway Dr
Ste A
Blackfoot, ID 83221
3302 Valencia Dr
Ste 120B
Idaho Falls, ID 83404
Phone (208) 535-3635
1975 Martha Ave
#A
Idaho Falls, ID 83404
Phone (208) 535-3633
1740 E 17th St
Idaho Falls, ID 83404
Phone (208) 346-8866
777 Hospital Way
Ste 300
Pocatello, ID 83201
Phone (208) 232-6100
4750 Yellowstone Ave
Ste A
Pocatello, ID 83202
Phone (208) 233-1720
1151 Hospital Way
Ste D201
Pocatello, ID 83201
Phone (208) 478-2472
850 Yellowstone Ave
Ste A
Pocatello, ID 83201
Phone (208) 239-8065
275 W Locust St
Ste A
Shelley, ID 83274
275 W Locust St
Ste B
Shelley, ID 83274
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| 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
- 1st Choice Urgent Care & Medical Center-Chubbuck
Other providers in Pocatello, ID
- BMH, Inc
- BMH, Inc
- BMH, Inc.
- BMH, Inc.
- BMH, Inc.
- BMH, Inc.
- Joel Bocanegra
- Body & Soul Therapy LLC
- Roger W. Boe
- Andrew William Bohnsack
All providers in Pocatello, ID · Family Medicine Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2024. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.