Organization Active NPI

BMH, Inc.

Doing business as 1st Choice Urgent Care & Medical Center-Chubbuck

  • Family Medicine Physician
  • Pocatello, ID
National Provider Identifier
1295502995
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

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

Other NPIs on the same Medicare enrollment 29

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

View all 29

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D23052781St Choice UC & Medical Center Chubbuck4750 Yellowstone Ave, Pocatello, ID 83202Certificate of waiverMay 28, 2028

National Provider Directory

National Provider Directory
Tax ID family
BMH Inc28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

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.

View all 177

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

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.

Verify at the official NPI Registry.