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BMH INC. NPI 1114192986


NPI Information

NPI: 1114192986
Provider Name: BMH, INC.

Doing Business As: PHYSICIANS & SURGEONS CLINIC OF POCATELLO

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 13D1084701

Address:
1151 HOSPITAL WAY # D-100
POCATELLO, ID
ZIP 83201
Phone: (208) 239-8010
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BMH, INC. is a multi-specialty clinic center in Pocatello, ID. BMH, INC. NPI is 1114192986. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Physicians & Surgeons Clinic Of Pocatello.

The provider's business location address is:

1151 HOSPITAL WAY # D-100
POCATELLO, ID
ZIP 83201-091
Phone: (208) 239-8010
Fax: (208) 782-2974

The provider's authorized official is Jacob Erickson .
The authorized official title is Ceo and has the following contact phone number (208) 785-3801.

The CLIA number assigned to this NPI record is 13D1084701 - rural health clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/23/2008 and was last updated on 12/17/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologistNo
2261QM1300XClinic/CenterMulti-SpecialtyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1002854200MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.