NPIMap

Organization Active NPI

Bingham Memorial Hospital

  • Skilled Nursing Facility
  • Blackfoot, ID
National Provider Identifier
1992785307
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
H36 Issued in ID
Legal business name
BINGHAM MEMORIAL HOSPITAL
Practice address
98 Poplar St
Blackfoot, ID 83221-1758
Phone
(208) 785-4101
NPI assigned
Jan 20, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Louis Kraml
Title
Ceo
Phone
(208) 785-3804

National Provider Directory

National Provider Directory
Tax ID family
BMH Inc27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

View all 26

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X H36 ID Primary

Addresses

NPPES NPI Registry

Primary practice location

98 Poplar St
Blackfoot, ID 83221-1758

Mailing address

98 Poplar St
Blackfoot, ID 83221-1758
Phone (208) 785-4101

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
002854700MedicaidID
01073OtherIDBLUE CROSS PROVIDER #

Other names 1

NPPES NPI Registry
  • Bingham Memorial Extended Care Facility Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 16, 2019.

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1992785307",
    "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": "BINGHAM MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-20",
        "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": "208-785-3804"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ID",
            "license": "H36",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002854700",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "01073",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bingham Memorial Extended Care Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blackfoot, ID

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.