Active NPI
BMH Inc
- Critical Access Hospital
- Blackfoot, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- License
- 36
- Legal business name
- BMH INC
- Practice address
- 98 Poplar St
Blackfoot, ID 83221 - Phone
- (208) 785-4100
- NPI assigned
- May 31, 2007
- Last updated
- Dec 16, 2019
- 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
- Jacob Erickson
- Title
- Ceo
- Phone
- (208) 785-3801
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 36 | ID | Primary |
Addresses
Primary practice location
98 Poplar St
Blackfoot, ID 83221
Mailing address
98 Poplar St
Blackfoot, ID 83221-1758
Phone (208) 785-4100
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010002612 | Other | ID | BLUE SHIELD OF IDAHO |
| 002854100 | Medicaid | ID | |
| 807808400 | Medicaid | ID | |
| 00448 | Other | ID | BLUE CROSS OF IDAHO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070801000213 | ID | Part A Provider - Critical Access Hospital | 8426149758 |
Receives reassigned benefits from 102 practitioners Practice locations: Blackfoot, ID; Pocatello, ID |
| O20191002000025 | ID | MDPP Supplier - in-Person MDPP Supplier | 8426149758 | Practice locations: Blackfoot, ID |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1982805271. Details of each certification follow.
Hospital certification: CCN 131325
- Legal name
- BMH INC
- Doing business as
- BINGHAM MEMORIAL HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Jan 1, 2004
- Last certification
- May 12, 2016
- Beds
- 25
- Ownership / control type
- Private (not for profit)
- Most recent change of ownership
- Jul 1, 2007 (1 total)
- Organization structure
- Corporation
- Incorporated
- Jun 26, 2006 in ID
- Enrollment address
- 98 Poplar St
Blackfoot, ID 83221-1758
Related certifications (CCN) 4
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
dba Physicians and Surgeons of Shelley
- Rural Health Clinic/Center
- Shelley, ID
- NPI 1366630949
Parent provider
-
- Medicare Defined Swing Bed Hospital Unit
- Blackfoot, ID
- NPI 1689876781
-
dba First Choice Urgent Care and Medical Clinic
- Rural Health Clinic/Center
- Blackfoot, ID
- NPI 1922243088
Parent provider
-
dba Idaho Physicians Clinic
- Rural Health Clinic/Center
- Blackfoot, ID
- NPI 1770785875
Parent provider
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 Skilled Nursing & Rehabilitation Center
- Skilled Nursing Facility
- Blackfoot, ID
- NPI 1861694960
8426149758
-
dba Bingham Memorial Physicians & Surgeons Center
- Surgery Physician
- Blackfoot, ID
- NPI 1255539193
8426149758
Care Compare: Hospital
Medicare Care Compare- Listed as
- Bingham Memorial Hospital
- Type
- Critical Access Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
National Provider Directory
National Provider Directory- Tax ID family
- 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
-
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
Interoperability endpoints
- aaronclayson@bmh.medalliesdirect.net
- adamwray@bmh.medalliesdirect.net
- aimeezhang@bmh.medalliesdirect.net
- alancrandall@bmh.medalliesdirect.net
- alyssajack@bmh.medalliesdirect.net
- amynightengale@bmh.medalliesdirect.net
- angelocapricchione@bmh.medalliesdirect.net
- anitakadikar@bmh.medalliesdirect.net
- anniedixon@bmh.medalliesdirect.net
- anthonyberrett@bmh.medalliesdirect.net
- baileyrunkles@bmh.medalliesdirect.net
- baldwinstutts@bmh.medalliesdirect.net
- benjaminallen@bmh.medalliesdirect.net
- bjornsauerwein@bmh.medalliesdirect.net
- bradlybrown@bmh.medalliesdirect.net
- bradymartin@bmh.medalliesdirect.net
- brandonsmith@bmh.medalliesdirect.net
- brianbeach@bmh.medalliesdirect.net
- briancarrigan@bmh.medalliesdirect.net
- brianhansen@bmh.medalliesdirect.net
Ownership & related parties
All disclosed owners & managing parties 13
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 |
|---|---|---|---|
| Brian R Thomas | Corporate Director | Jan 1, 2024 | |
| Daniel Jeffrey Daniels | Corporate Officer | Sep 8, 2025 | |
| W-2 Managing Employee | Sep 8, 2025 | ||
| Jacob Erickson | Corporate Officer | Oct 1, 2017 | |
| Corporate Director | Oct 1, 2017 | ||
| W-2 Managing Employee | Oct 1, 2017 | ||
| Scott Reese | Corporate Director | Jan 25, 2021 | |
| Jessica Lewis | Corporate Officer | Feb 1, 2019 | |
| Whitney Manwaring | Corporate Director | Jan 1, 2023 | |
| Luke Jolley | Corporate Director | Jan 1, 2024 | |
| Christian Cannon | Corporate Director | Sep 27, 2021 | |
| Kevin Kotter | Corporate Director | Jan 1, 2020 | |
| William J Sponenburgh | Corporate Director | Feb 28, 2022 | |
| Gary M Ullery | Corporate Director | Jan 1, 2024 | |
| BMH Inc | 5% Or Greater Direct Ownership Interest | Jun 8, 2007 | |
| Operational/Managerial Control | Jun 8, 2007 | ||
| Linda Valentine | Corporate Director | Oct 1, 2017 |
Owners & managing parties with NPI records 8
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, 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
-
dba Idaho Physicians Clinic
- Rural Health Clinic/Center
- Blackfoot, ID
- NPI 1770785875
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Bingham Memorial Skilled Nursing & Rehabilitation Center
- Skilled Nursing Facility
- Blackfoot, ID
- NPI 1861694960
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Bingham Memorial Physicians & Surgeons Center
- Surgery Physician
- Blackfoot, ID
- NPI 1255539193
5% Or Greater Direct Ownership Interest, 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 (100%) |
Jun 13, 2007 Jun 13, 2007 |
| Grove Creek Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2018 |
| Bingham Memorial Hospital | Skilled nursing facility | 5% Or Greater Direct Ownership Interest Operational/Managerial Control Adp of the SNF Direct Ownership Interest (100%) |
Jun 13, 2007 Jun 13, 2007 Jun 13, 2007 Jun 13, 2007 |
| 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
-
dba Idaho Physicians Clinic
- Rural Health Clinic/Center
- Blackfoot, ID
- NPI 1770785875
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Bingham Memorial Skilled Nursing & Rehabilitation Center
- Skilled Nursing Facility
- Blackfoot, ID
- NPI 1861694960
5% Or Greater Direct Ownership Interest, Adp of the SNF, 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 Bingham Memorial Skilled Nursing & Rehabilitation Center
- Skilled Nursing Facility
- Blackfoot, ID
- NPI 1861694960
BMH Inc
-
dba Grove Creek Medical Center
- General Acute Care Hospital
- Blackfoot, ID
- NPI 1851371959
BMH Inc
Practitioners & affiliated clinicians
Practitioners 145
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.
-
- Physician Assistant
- Blackfoot, ID
- NPI 1841747540
-
- Medical Physician Assistant
- Idaho Falls, ID
- NPI 1386626463
-
- Physician Assistant
- Pocatello, ID
- NPI 1700391620
-
- Physician Assistant
- Blackfoot, ID
- NPI 1770002974
-
- Medical Physician Assistant
- Pocatello, ID
- NPI 1205085529
-
- Physician Assistant
- Malad City, ID
- NPI 1922026467
-
- Emergency Medicine Physician
- Blackfoot, ID
- NPI 1285016311
-
- Physician Assistant
- Blackfoot, ID
- NPI 1326347972
-
- Surgical Physician Assistant
- Pocatello, ID
- NPI 1720379597
-
- Medical Physician Assistant
- Pocatello, ID
- NPI 1932488053
-
- Medical Physician Assistant
- Blackfoot, ID
- NPI 1790403178
-
- Surgical Physician Assistant
- Blackfoot, ID
- NPI 1669556213
Affiliated clinicians 220
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Otolaryngology Physician
- Blackfoot, ID
- NPI 1073785945
Hospital
-
- Primary Care Nurse Practitioner
- Blackfoot, ID
- NPI 1518543768
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576454400000",
"number": "1982805271",
"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": "208-785-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 POPLAR ST",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "83221",
"telephone_number": "208-785-4100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BMH INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-31",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"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": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": "ID",
"license": "36",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF IDAHO",
"identifier": "000010002612",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002854100",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807808400",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF IDAHO",
"identifier": "00448",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Blackfoot, ID
- BMH Inc (Bingham Memorial Specialists)
- BMH Inc
- BMH Inc (Bingham Memorial Hospital Pharmacy)
- BMH Inc (New Leaf Psychiatric Unit)
- BMH Inc (First Choice Urgent Care and Medical Clinic)
- BMH Inc. (medical plaza pharmacy)
- BMH Inc. (Idaho Physicians Clinic)
- BMH Inc. (Bingham Memorial Skilled Nursing & Rehabilitation Center)
- BMH, Inc (Bingham Memorial Hospital)
- BMH, Inc (Bingham Specialty Plaza)
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.