NPIMap

BMH Inc

Organization Active NPI Critical Access Hospital · Blackfoot, ID

NPI 1982805271 · NPPES record last updated Dec 16, 2019

Key facts

NPI
1982805271
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
License
36 (ID)
Legal business name
BMH INC
Practice address
98 Poplar St
Blackfoot, ID 83221
Phone
(208) 785-4100
NPI assigned
May 31, 2007
Organization subpart
No

Authorized official

Name
Jacob Erickson
Title
Ceo
Phone
(208) 785-3801

Owners & managing parties with NPI records 8

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • BMH Inc Rural Health Clinic/Center · Shelley, ID · NPI 1366630949
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST · OPERATIONAL/MANAGERIAL CONTROL
  • BMH Inc Medicare Defined Swing Bed Hospital Unit · Blackfoot, ID · NPI 1689876781
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST · OPERATIONAL/MANAGERIAL CONTROL
  • BMH Inc Rural Health Clinic/Center · Blackfoot, ID · NPI 1922243088
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST · OPERATIONAL/MANAGERIAL CONTROL
  • BMH Inc. Rural Health Clinic/Center · Blackfoot, ID · NPI 1770785875
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST · OPERATIONAL/MANAGERIAL CONTROL
  • BMH Inc. Skilled Nursing Facility · Blackfoot, ID · NPI 1861694960
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST · OPERATIONAL/MANAGERIAL CONTROL
  • BMH, Inc. Surgery Physician · Blackfoot, ID · NPI 1255539193
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST · OPERATIONAL/MANAGERIAL CONTROL
  • Gary Michael Ullery, D.O. Internal Medicine Physician · Blackfoot, ID · NPI 1164785382
    CMS ownership CORPORATE DIRECTOR
  • Brian R Thomas Otolaryngology Physician · Great Falls, MT · NPI 1518101443
    CMS ownership CORPORATE DIRECTOR

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • BMH Inc Rural Health Clinic/Center · Shelley, ID · NPI 1366630949
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST · OPERATIONAL/MANAGERIAL CONTROL
  • BMH Inc Medicare Defined Swing Bed Hospital Unit · Blackfoot, ID · NPI 1689876781
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST · OPERATIONAL/MANAGERIAL CONTROL
  • BMH Inc Rural Health Clinic/Center · Blackfoot, ID · NPI 1922243088
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST · OPERATIONAL/MANAGERIAL CONTROL
  • BMH Inc. Rural Health Clinic/Center · Blackfoot, ID · NPI 1770785875
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST · OPERATIONAL/MANAGERIAL CONTROL
  • BMH Inc. Skilled Nursing Facility · Blackfoot, ID · NPI 1861694960
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST · ADP OF THE SNF · DIRECT OWNERSHIP INTEREST · OPERATIONAL/MANAGERIAL CONTROL
  • Mountain River Birthing and Surgery Center LLC General Acute Care Hospital · Blackfoot, ID · NPI 1851371959
    CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

  • BMH Inc Rural Health Clinic/Center · Shelley, ID · NPI 1366630949
    Same PAC ID 8426149758
  • BMH Inc Medicare Defined Swing Bed Hospital Unit · Blackfoot, ID · NPI 1689876781
    Same PAC ID 8426149758
  • BMH Inc Rural Health Clinic/Center · Blackfoot, ID · NPI 1922243088
    Same PAC ID 8426149758
  • BMH Inc. Rural Health Clinic/Center · Blackfoot, ID · NPI 1770785875
    Same PAC ID 8426149758
  • BMH Inc. Skilled Nursing Facility · Blackfoot, ID · NPI 1861694960
    Same PAC ID 8426149758
  • BMH, Inc. Surgery Physician · Blackfoot, ID · NPI 1255539193
    Same PAC ID 8426149758

Corporate family (same tax ID) 26

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

View all 26

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 6

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 165

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 165

Affiliated clinicians 220

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 220

Medicare Care Compare: Hospital

Listed as
Bingham Memorial Hospital CCN 131325
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in ID

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 · Non-profit
Incorporated
Jun 26, 2006 in ID
Enrollment address
98 Poplar St
Blackfoot, ID 83221-1758
Other Hospital Practice Location

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.

NameRoleSinceShare
Brian R Thomas
Individual 		Corporate Director Jan 1, 2024
Daniel Jeffrey Daniels
Individual 		Corporate Officer Sep 8, 2025
W-2 Managing Employee
Cfo		 Sep 8, 2025
Jacob Erickson
Individual 		Corporate Officer Oct 1, 2017
Corporate Director
Ceo		 Oct 1, 2017
W-2 Managing Employee
Ceo		 Oct 1, 2017
Scott Reese
Individual 		Corporate Director Jan 25, 2021
Jessica Lewis
Individual 		Corporate Officer Feb 1, 2019
Whitney Manwaring
Individual 		Corporate Director Jan 1, 2023
Luke Jolley
Individual 		Corporate Director Jan 1, 2024
Christian Cannon
Individual 		Corporate Director Sep 27, 2021
Kevin Kotter
Individual 		Corporate Director Jan 1, 2020
William J Sponenburgh
Individual 		Corporate Director Feb 28, 2022
Gary M Ullery
Individual 		Corporate Director Jan 1, 2024
BMH Inc
Organization · Blackfoot, ID
Corporation 		5% Or Greater Direct Ownership Interest Jun 8, 2007
Operational/Managerial Control Jun 8, 2007
Linda Valentine
Individual 		Corporate Director Oct 1, 2017

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bingham Memorial Hospital
Blackfoot, ID · CCN 13Z325		 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control (100%)		 Jun 13, 2007
Jun 13, 2007
Grove Creek Medical Center
Blackfoot, ID · CCN 130073		 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2018
Bingham Memorial Hospital
Blackfoot, ID · CCN 135007		 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
Blackfoot, ID · CCN 138502		 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
Shelley, ID · CCN 138512		 Rural health clinic 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jul 1, 2007
Jul 1, 2007
First Choice Urgent Care & Medical Center
Blackfoot, ID · CCN 138515		 Rural health clinic 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Mar 1, 2009
Mar 1, 2009

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory

Tax ID family
BMH Inc (27 organizations share this tax ID)

Interoperability endpoints

  • Direct secure messaging: wspeakman@bmh.medalliesdirect.net
  • Direct secure messaging: nathanrichardson@bmh.medalliesdirect.net
  • Direct secure messaging: anitakadikar@bmh.medalliesdirect.net
  • Direct secure messaging: davidwoodbury@bmh.medalliesdirect.net
  • Direct secure messaging: hilaryzitlau@bmh.medalliesdirect.net
  • Direct secure messaging: davidholland@bmh.medalliesdirect.net
  • Direct secure messaging: aimeezhang@bmh.medalliesdirect.net
  • Direct secure messaging: jameschristensen@bmh.medalliesdirect.net
  • Direct secure messaging: briancarrigan@bmh.medalliesdirect.net
  • Direct secure messaging: brianhopkins@bmh.medalliesdirect.net
  • Direct secure messaging: davidshelley@bmh.medalliesdirect.net
  • Direct secure messaging: erichgarland@bmh.medalliesdirect.net
  • Direct secure messaging: brycecampbell@bmh.medalliesdirect.net
  • Direct secure messaging: christophergibson@bmh.medalliesdirect.net
  • Direct secure messaging: anniedixon@bmh.medalliesdirect.net
  • Direct secure messaging: jasonhoward@bmh.medalliesdirect.net
  • Direct secure messaging: jaredkam@bmh.medalliesdirect.net
  • Direct secure messaging: jamesgoff@bmh.medalliesdirect.net
  • Direct secure messaging: matthewhagan@bmh.medalliesdirect.net
  • Direct secure messaging: heleneedmo@bmh.medalliesdirect.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 36 ID Yes

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

IdentifierTypeStateIssuer
00448OtherIDBLUE CROSS OF IDAHO
807808400MedicaidID
002854100MedicaidID
000010002612OtherIDBLUE SHIELD OF IDAHO

Other providers in Blackfoot, ID

All providers in Blackfoot, ID · Critical Access Hospital in Idaho

Sources for this page

Verify at the official NPI Registry.