Bmh, INC
Internal Medicine, Endocrinology, Diabetes & Metabolism in Pocatello, ID. Organization (NPI-2).
NPI number1255705786
StatusActive
Last updated in NPPESApr 1, 2019
Details
- NPI
- 1255705786
- Entity type
- Organization (NPI-2)
- Legal business name
- Bmh, INC
- Organization subpart
- No
- Enumeration date
- Nov 20, 2015
- Last updated
- Apr 1, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RE0101X | Internal Medicine, Endocrinology, Diabetes & Metabolism | – | ID | Yes |
| 207R00000X | Internal Medicine | – | ID | |
| 363LF0000X | Nurse Practitioner, Family | – | ID |
Other names
- Bingham Healthcare Specialty Clinic - Terry St (Doing Business As)
Practice location
2302 E Terry StPocatello, ID 83201-2733
Phone 208-235-5910 · Fax 208-235-5920
Mailing address
98 Poplar StBlackfoot, ID 83221-1758
Phone 208-785-4100 · Fax 208-785-8529
Authorized official
Jacob Erickson
Ceo
2087853801
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