Active NPI
BMH, Inc.
Doing business as Bingham Memorial Women's Center
- Obstetrics & Gynecology Physician
- Blackfoot, ID
National Provider Identifier
1477750313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- BMH, INC.
- Doing business as
- Bingham Memorial Women's Center
- Practice address
- 98 Poplar St
Blackfoot, ID 83221-1758 - Phone
- (208) 782-3900
- NPI assigned
- Jul 2, 2007
- Last updated
- Apr 17, 2008
- 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
- Lisa Rudolph
- Title
- Pso Support Specialist
- Phone
- (208) 782-3992
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | NU | Primary |
Addresses
Primary practice location
98 Poplar St
Blackfoot, ID 83221-1758
Mailing address
98 Poplar St
Blackfoot, ID 83221-1758
Phone (208) 782-3900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8N214 | Other | ID | BLUE CROSS GRP |
| 8J240 | Other | ID | BLUE CROSS GRP OLD |
Other names 1
- Bingham Memorial Women's Center
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
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208390400000",
"number": "1477750313",
"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": "208-782-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 POPLAR ST",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "832211758",
"telephone_number": "208-782-3900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BMH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-02",
"last_updated": "2008-04-17",
"status": "A",
"authorized_official_last_name": "RUDOLPH",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "PSO SUPPORT SPECIALIST",
"authorized_official_telephone_number": "208-782-3992"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS GRP",
"identifier": "8N214",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS GRP OLD",
"identifier": "8J240",
"state": "ID"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bingham Memorial Women's Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Blackfoot, ID
- BMH Inc. (Bingham Memorial Skilled Nursing & Rehabilitation Center)
- BMH, Inc (Bingham Memorial Hospital)
- BMH, Inc (Bingham Specialty Plaza)
- BMH, Inc. (Bingham Memorial Physicians & Surgeons Center)
- BMH, Inc. (Cedar Creek Family Medicine)
- BMH, Inc. (Bingham Memorial Family Medicine)
- BMH, Inc. (Blackfoot Orthopedic Center)
- BMH, Inc. (Bingham Memorial Physicians)
- BMH, Inc. (Bingham Memorial Specialty Clinic - Poplar)
- BMH, Inc. (Mountain River Medical Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.