Active NPI
BMH Inc.
Doing business as Bingham Memorial Skilled Nursing & Rehabilitation Center
- Skilled Nursing Facility
- Blackfoot, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 36H
- Legal business name
- BMH INC.
- Doing business as
- Bingham Memorial Skilled Nursing & Rehabilitation Center
- Practice address
- 98 Poplar St
Blackfoot, ID 83221-1758 - Phone
- (208) 785-4101
- NPI assigned
- Jun 1, 2007
- Last updated
- Dec 16, 2019
- Organization subpart
- Yes
- Parent organization
- BMH INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Louis Kraml
- Title
- Ceo
- Phone
- (208) 785-3801
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 36H | ID | Primary |
Addresses
Primary practice location
98 Poplar St
Blackfoot, ID 83221-1758
Mailing address
98 Poplar St
Blackfoot, ID 83221-1758
Phone (208) 785-4101
Other names 1
- BINGHAM MEMORIAL SKILLED NURSING & REHABILITATION 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 |
|---|---|---|---|---|
| O20070801000428 | ID | Part A Provider - Skilled Nursing Facility | 8426149758 | Practice locations: Blackfoot, ID |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1861694960. Details of each certification follow.
Skilled nursing facility certification: CCN 135007
- Legal name
- BMH INC
- Doing business as
- BINGHAM MEMORIAL HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1967
- Last certification
- Aug 22, 2024
- Beds
- 27
- Ownership / control type
- Other Nonprofit
- Organization structure
- Corporation
- Incorporated
- Jun 26, 2006 in ID
- Enrollment address
- 98 Poplar St
Blackfoot, ID 83221-1758 - Nursing home name
- BINGHAM MEMORIAL SKILLED NURSING & REHABILITATION
Other NPIs with the same Medicare PAC ID 6
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Physicians and Surgeons of Shelley
- Rural Health Clinic/Center
- Shelley, ID
- NPI 1366630949
8426149758
-
dba First Choice Urgent Care and Medical Clinic
- Rural Health Clinic/Center
- Blackfoot, ID
- NPI 1922243088
8426149758
-
dba Idaho Physicians Clinic
- Rural Health Clinic/Center
- Blackfoot, ID
- NPI 1770785875
8426149758
-
dba Bingham Memorial Physicians & Surgeons Center
- Surgery Physician
- Blackfoot, ID
- NPI 1255539193
8426149758
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Bingham Memorial Skilled Nursing & Rehabilitation
- Overall star rating
- Health inspections
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Other
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 27
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 |
|---|---|---|---|
| 13D2191894 | Bingham Memorial Skilled Nursing & Rehab Center | Certificate of waiver | Sep 1, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- BMH Inc
- Part of
- 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
Ownership & related parties
All disclosed owners & managing parties 14
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Jacob Erickson | Corporate Director | Oct 1, 2017 | |
| Operational/Managerial Control | Oct 1, 2017 | ||
| Adp of the SNF | Oct 1, 2017 | ||
| Eric Wahlen | Corporate Director | Jun 23, 2025 | |
| Scott Reese | Corporate Director | Jan 1, 2024 | |
| Jessica Lewis | Corporate Director | Feb 1, 2019 | |
| William Brad Speakman | Operational/Managerial Control | May 23, 2023 | |
| Adp of the SNF | Jan 30, 2025 | ||
| Whitney Manwaring | Corporate Director | Jan 1, 2023 | |
| Luke Jolley | Corporate Director | Jan 1, 2024 | |
| Nathan Dalling | Corporate Officer | Jun 1, 2026 | |
| Adp of the SNF | Jun 1, 2026 | ||
| Christian Cannon | Corporate Director | Jan 1, 2024 | |
| Benjamin J Allen | Corporate Director | Feb 28, 2026 | |
| William J Sponenburgh | Corporate Director | Jan 1, 2024 | |
| Gary M Ullery | Corporate Director | Jan 1, 2024 | |
| BMH Inc | 5% Or Greater Direct Ownership Interest | Jun 13, 2007 | |
| Operational/Managerial Control | Jun 13, 2007 | ||
| Adp of the SNF | Jun 13, 2007 | ||
| Direct Ownership Interest | Jun 13, 2007 | 100% | |
| Troy Eppich | Corporate Director | Feb 28, 2026 |
Owners & managing parties with NPI records 9
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Physicians and Surgeons of Shelley
- Rural Health Clinic/Center
- Shelley, ID
- NPI 1366630949
5% Or Greater Direct Ownership Interest, Adp of the SNF, Direct Ownership Interest, Operational/Managerial Control
-
- Medicare Defined Swing Bed Hospital Unit
- Blackfoot, ID
- NPI 1689876781
5% Or Greater Direct Ownership Interest, Adp of the SNF, Direct Ownership Interest, Operational/Managerial Control
-
dba First Choice Urgent Care and Medical Clinic
- Rural Health Clinic/Center
- Blackfoot, ID
- NPI 1922243088
5% Or Greater Direct Ownership Interest, Adp of the SNF, Direct Ownership Interest, Operational/Managerial Control
-
- Critical Access Hospital
- Blackfoot, ID
- NPI 1982805271
5% Or Greater Direct Ownership Interest, Adp of the SNF, Direct Ownership Interest, Operational/Managerial Control
-
dba Idaho Physicians Clinic
- Rural Health Clinic/Center
- Blackfoot, ID
- NPI 1770785875
5% Or Greater Direct Ownership Interest, Adp of the SNF, Direct Ownership Interest, Operational/Managerial Control
-
dba Bingham Memorial Physicians & Surgeons Center
- Surgery Physician
- Blackfoot, ID
- NPI 1255539193
5% Or Greater Direct Ownership Interest, Adp of the SNF, Direct Ownership Interest, Operational/Managerial Control
-
- Family Medicine Physician
- Malad City, ID
- NPI 1821034562
Adp of the SNF, Operational/Managerial Control
-
- Internal Medicine Physician
- Blackfoot, ID
- NPI 1164785382
Corporate Director
All facility ownership & control disclosures 6
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Bingham Memorial Hospital | Hospital | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Jun 8, 2007 Jun 8, 2007 |
| Bingham Memorial Hospital | Hospital | 5% Or Greater Direct Ownership Interest Operational/Managerial Control (100%) |
Jun 13, 2007 Jun 13, 2007 |
| Grove Creek Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2018 |
| Idaho Physicians Clinic | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jun 13, 2007 Jun 13, 2007 |
| Bingham Memorial Physicians & Surgeons Clinic of Shelley | Rural health clinic | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Jul 1, 2007 Jul 1, 2007 |
| First Choice Urgent Care & Medical Center | Rural health clinic | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Mar 1, 2009 Mar 1, 2009 |
Owned or controlled facilities with NPI records 6
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Physicians and Surgeons of Shelley
- Rural Health Clinic/Center
- Shelley, ID
- NPI 1366630949
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Medicare Defined Swing Bed Hospital Unit
- Blackfoot, ID
- NPI 1689876781
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba First Choice Urgent Care and Medical Clinic
- Rural Health Clinic/Center
- Blackfoot, ID
- NPI 1922243088
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Critical Access Hospital
- Blackfoot, ID
- NPI 1982805271
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Idaho Physicians Clinic
- Rural Health Clinic/Center
- Blackfoot, ID
- NPI 1770785875
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Grove Creek Medical Center
- General Acute Care Hospital
- Blackfoot, ID
- NPI 1851371959
5% Or Greater Direct Ownership Interest
Facilities with the same owner 6
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Physicians and Surgeons of Shelley
- Rural Health Clinic/Center
- Shelley, ID
- NPI 1366630949
BMH Inc
-
dba First Choice Urgent Care and Medical Clinic
- Rural Health Clinic/Center
- Blackfoot, ID
- NPI 1922243088
BMH Inc
-
dba Idaho Physicians Clinic
- Rural Health Clinic/Center
- Blackfoot, ID
- NPI 1770785875
BMH Inc
-
dba Grove Creek Medical Center
- General Acute Care Hospital
- Blackfoot, ID
- NPI 1851371959
BMH Inc
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576454400000",
"number": "1861694960",
"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": "208-785-4101"
},
{
"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": "208-785-4101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BMH INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BMH INC",
"enumeration_date": "2007-06-01",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"status": "A",
"authorized_official_last_name": "KRAML",
"authorized_official_first_name": "LOUIS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "208-785-3801"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "ID",
"license": "36H",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BINGHAM MEMORIAL SKILLED NURSING & REHABILITATION CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Blackfoot, ID
- BMH Inc (New Leaf Psychiatric Unit)
- BMH Inc (First Choice Urgent Care and Medical Clinic)
- BMH Inc
- BMH Inc. (medical plaza pharmacy)
- BMH Inc. (Idaho Physicians Clinic)
- 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 Women's Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.