BMH, INC. (NPI# 1649460130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649460130 |
| Entity Type | Organization |
| Organization Name | BMH, INC. |
| Other Organization Name | BINGHAM MEMORIAL PHYSICIANS |
| Practice Address |
98 Poplar St Blackfoot ID 83221-1758 |
| Practice Telephone | 2087854100 |
| Mailing Telephone | 2087854100 |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2019-12-16 |
| Authorized Official Name | JACOB ERICKSON (CEO) |
| Authorized Official Telephone | 2087853801 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
ID | Allopathic & Osteopathic Physicians | |
| N | 207N00000X | Dermatology | ID | Allopathic & Osteopathic Physicians | |
| N | 207R00000X | Internal Medicine | ID | Allopathic & Osteopathic Physicians | |
| N | 207T00000X | Neurological Surgery | ID | Allopathic & Osteopathic Physicians | |
| N | 207V00000X | Obstetrics & Gynecology | ID | Allopathic & Osteopathic Physicians | |
| N | 207X00000X | Orthopaedic Surgery | ID | Allopathic & Osteopathic Physicians | |
| N | 208000000X | Pediatrics | ID | Allopathic & Osteopathic Physicians | |
| N | 208600000X | Surgery | ID | Allopathic & Osteopathic Physicians | |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
ID | Allopathic & Osteopathic Physicians | |
| Y | 207Q00000X | Family Medicine | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE CROSS GRP | 8N219 | 01 |
| ID | 002854200 | 05 | |
| ID | BLUE CROSS GRP OLD | 8L535 | 01 |
| Other Name | Type Code |
|---|---|
| Bingham Memorial Physicians | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1801336276 | Bmh, Inc. | Internal Medicine | 235 Poplar St, Blackfoot, ID 83221 | 2017-03-03 |
| 1114192986 | Bmh, Inc. | Psychologist | 1151 Hospital Way # D-100, Pocatello, ID 83201-5091 | 2008-04-23 |
| 1548450034 | Bmh, Inc. | Dermatology | 1151 Hospital Way Ste D, Pocatello, ID 83201-5091 | 2007-07-31 |
| 1780123950 | Bmh, Inc. | Surgery | 3760 Washington Pkwy, Idaho Falls, ID 83404-7593 | 2017-02-21 |
| 1245779412 | Bmh, Inc. | Plastic Surgery | 285 Vista Dr, Ste. E, Pocatello, ID 83201-4987 | 2017-02-21 |
| 1255539193 | Bmh, Inc. | Anesthesiology | 98 Poplar St, Blackfoot, ID 83221-1758 | 2007-07-03 |
| 1487851424 | Bmh, Inc. | Family Medicine | 315 W Idaho St, Blackfoot, ID 83221-1711 | 2007-07-02 |
| 1578760518 | Bmh, Inc. | Anesthesiology | 2375 E Sunnyside Rd, Idaho Falls, ID 83404-8280 | 2007-07-02 |
| 1477750313 | Bmh, Inc. | Obstetrics & Gynecology | 98 Poplar St, Blackfoot, ID 83221-1758 | 2007-07-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | BMH, INC. | 19 Narragansett Avenue, Ossining, New York 10562 |
| Street Address |
98 POPLAR ST |
| City | BLACKFOOT |
| State | ID |
| Zip Code | 83221-1758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609871474 | Wade H Flowers Jr. | Pharmacist | 98 Poplar St, Blackfoot, ID 83221-1758 | 2005-06-16 |
| 1629685177 | Lucus Craig Webb Christoffersen | Registered Nurse | 98 Poplar St, Blackfoot, ID 83221-1799 | 2020-09-29 |
| 1770111924 | Kywnynn Madsen | Dietitian, Registered | 98 Poplar St, Blackfoot, ID 83221-1758 | 2020-03-31 |
| 1235795915 | Megan Lewis | Advanced Practice Midwife | 98 Poplar St, Blackfoot, ID 83221-1758 | 2019-05-17 |
| 1083177935 | Jason Lee Harmon | Student in an Organized Health Care Education/Training Program | 98 Poplar St, Blackfoot, ID 83221-1758 | 2019-04-08 |
| 1851870091 | Jennifer L Wistisen | Physician Assistant | 98 Poplar St, Blackfoot, ID 83221-1799 | 2018-08-08 |
| 1114405396 | Ryan Blair Killpack | Physician Assistant | 98 Poplar St, Blackfoot, ID 83221-1758 | 2018-07-31 |
| 1023504651 | Amanda Wray | Pharmacist | 98 Poplar St, Blackfoot, ID 83221-1758 | 2018-07-06 |
| 1699268276 | Zachary D Morrow | Nurse Anesthetist, Certified Registered | 98 Poplar St, Blackfoot, ID 83221-1758 | 2018-06-08 |
| 1184115107 | Megan Nicole Broyles | Pharmacist | 98 Poplar St, Blackfoot, ID 83221 | 2018-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932711165 | Samantha Paige Averett | Social Worker | 60 N Broadway, Blackfoot, ID 83221 | 2020-08-19 |
| 1730711656 | Sara Marie Letham | Family Medicine | 33 S Thompson Lane, Blackfoot, ID 83221 | 2020-02-08 |
| 1962994962 | Tyler Thomas Wood | Student in an Organized Health Care Education/Training Program | 98 Poplar Street, Blackfoot, Id 83221, Blackfoot, ID 83221 | 2018-06-05 |
| 1801336276 | Bmh, Inc. | Internal Medicine | 235 Poplar St, Blackfoot, ID 83221 | 2017-03-03 |
| 1497119804 | Susan Doran | Social Worker | 720 E. Alice, Blackfoot, ID 83221 | 2016-04-12 |
| 1427412121 | Josie Russell Adkins | Counselor | 720 East Alice, Blackfoot, ID 83221 | 2016-04-08 |
| 1740590314 | Ashley Nichole Thomas | Physician Assistant | 710 E. Alice Street, Blackfoot, ID 83221 | 2010-10-18 |
| 1528373313 | Stephanie Lynn Henderson | Dietitian, Registered | 1555 Vernon Ave, Blackfoot, ID 83221 | 2010-08-17 |
| 1184850141 | Joy H. Taylor | Nurse Practitioner | 1441 Parkway Drive, Blackfoot, ID 83221 | 2009-06-04 |
| 1427232925 | Nathan E. Sneddon | Anesthesiology | 98 Poplar St Fl 3, Blackfoot, ID 83221 | 2007-12-20 |
| Find all providers in zip 83221 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730711656 | Sara Marie Letham | Family Medicine | 33 S Thompson Lane, Blackfoot, ID 83221 | 2020-02-08 |
| 1356416861 | Community Council of Idaho, Inc. | Family Medicine | 625 W Pacific St, Suite 3, Blackfoot, ID 83221-2034 | 2006-11-21 |
| 1477627982 | Jace A Bird | Family Medicine | 145 W Idaho St, Blackfoot, ID 83221-2255 | 2006-11-17 |
| 1487767174 | Richard Cutler Hill | Family Medicine | 120 N 900 W, Blackfoot, ID 83221-5343 | 2006-08-16 |
| 1164440814 | Amador Ramirez Cantu | Family Medicine | 354 S 1000 W, Blackfoot, ID 83221-6085 | 2006-07-18 |
| 1053379461 | Peggy Toro | Family Medicine | 315 W Idaho St, Blackfoot, ID 83221-1711 | 2006-05-03 |
| 1467816579 | Mvh Bmc LLC | Family Medicine | 1441 Parkway Dr, Blackfoot, ID 83221-1667 | 2016-04-06 |
| 1356665087 | George G Hales | Family Medicine | 1441 Parkway Dr, Blackfoot, ID 83221-1667 | 2010-03-24 |
| 1124283254 | Blackfoot Medical Clinic Rhc | Family Medicine | 1441 Parkway Dr, Blackfoot, ID 83221-1667 | 2008-07-29 |
| 1487851424 | Bmh, Inc. | Family Medicine | 315 W Idaho St, Blackfoot, ID 83221-1711 | 2007-07-02 |
| Find all providers in BLACKFOOT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.