BMH INC NPI 1366630949

NPI Information

NPI: 1366630949
Provider Name: BMH INC
Classification: Clinic/Center - 261QR1300X
Specialization: Rural Health
Entity Type: Organization
Doing Business As: PHYSICIANS AND SURGEONS OF SHELLEY
CLIA Number: 13D1076383
Address: 275 W LOCUST ST
SHELLEY, ID
ZIP 83274
Phone: (208) 782-2960

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NPI Details

BMH INC is a rural health clinic center in Shelley, ID. BMH INC NPI is 1366630949. The provider is registered as an organization entity type.
The provider Is Doing Business As Physicians And Surgeons Of Shelley.

The provider's business location address is:

275 W LOCUST ST
SHELLEY, ID
ZIP 83274-230
Phone: (208) 782-2960

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 13D1076383 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/9/2007 and was last updated on 2/11/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care			No
2	261QR1300X	Clinic/Center	Rural Health	36	IDAHO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000010137702	OTHER	IDAHO	BLUE SHIELD OF IDAHO
2	8N304	OTHER	IDAHO	BLUE CROSS OF IDAHO
3	807947000	MEDICAID	IDAHO

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: 11/21/2025

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