BMH, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BMH, INC.

Doing business as

Mountain River Medical Associates

Practice address

98 Poplar St
Blackfoot, ID 83221-1758

Phone

(208) 785-5801

NPI assigned

Jun 27, 2007

Last updated

Feb 18, 2009By the provider in NPPES

Organization subpart

No

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 4

Addresses

Other identifiers 3

Other names 1

• Mountain River Medical Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Other NPIs on the same Medicare enrollment 29

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

• BMH Inc

  dba Bingham Memorial Specialists

  • Surgery Physician
  • Blackfoot, ID
  • NPI 1164611430

  O20071018000897

  Same enrollment
• BMH Inc

  dba 1st Choice Urgent Care & Medical Clinic at Lincoln Square

  • Family Medicine Physician
  • Idaho Falls, ID
  • NPI 1174091896

  O20071018000897

  Same enrollment
• BMH Inc

  dba Lamere Woman's Care Centre

  • Obstetrics & Gynecology Physician
  • Pocatello, ID
  • NPI 1790948040

  O20071018000897

  Same enrollment
• BMH Inc

  dba First Choice Urgent Care and Medical Clinic

  • Rural Health Clinic/Center
  • Blackfoot, ID
  • NPI 1922243088

  O20071018000897

  Same enrollment
• BMH Inc.

  dba The Health and Wellness Sleep Institute of Pocatello

  • Nurse Practitioner
  • Pocatello, ID
  • NPI 1104332048

  O20071018000897

  Same enrollment
• BMH Inc.

  dba Bingham Healthcare Specialty Clinic - 4th St

  • Family Medicine Physician
  • Pocatello, ID
  • NPI 1134621436

  O20071018000897

  Same enrollment
• BMH Inc.

  dba Superior Health Clinic

  • Primary Care Clinic/Center
  • Pocatello, ID
  • NPI 1285936781

  O20071018000897

  Same enrollment
• BMH Inc.

  dba 1st Choice Urgent Care Bannock Highway

  • Multi-Specialty Clinic/Center
  • Pocatello, ID
  • NPI 1548727571

  O20071018000897

  Same enrollment
• BMH Inc.

  dba Pocatello Women's Health Clinic

  • Obstetrics & Gynecology Physician
  • Pocatello, ID
  • NPI 1659887511

  O20071018000897

  Same enrollment
• BMH Inc.

  dba Clifford Family Medicine

  • Family Medicine Physician
  • Pocatello, ID
  • NPI 1881190650

  O20071018000897

  Same enrollment
• BMH Inc.

  dba Bingham Healthcare Specialty Clinic-Martha

  • Surgery Physician
  • Idaho Falls, ID
  • NPI 1922512722

  O20071018000897

  Same enrollment
• BMH, Inc

  dba Bingham Healthcare Specialty Clinic - 17TH St

  • Family Medicine Physician
  • Idaho Falls, ID
  • NPI 1215398672

  O20071018000897

  Same enrollment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1922205608",
    "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": "208-785-5801"
        },
        {
            "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": "208-785-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BMH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2009-02-18",
        "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": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GRP",
            "identifier": "8N218",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002854200",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GRP OLD",
            "identifier": "8L535",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain River Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• BMH, Inc. (Bingham Memorial Women's Center)
• BMH, Inc. (Bingham Memorial Family Medicine)
• BMH, Inc. (Blackfoot Orthopedic Center)
• BMH, Inc. (Bingham Memorial Physicians)
• BMH, Inc. (Bingham Memorial Specialty Clinic - Poplar)
• Brian Don Boehme
• Kerry Lynn Bowman, MS, CCC-SLP
• Bridges of Hope Psychiatry
• Brooke Brown, APRN-CNP
• Lynette Mardel Brown, M.D., PH.D.

• Family Medicine Physician in Blackfoot, ID
• Providers in Blackfoot, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.

Verify at the official NPI Registry.