BMH INC; NPI #1366630949

Contact Information

BMH INC

275 W LOCUST ST
SHELLEY, ID 83274-1230

Phone: 208-782-2960
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Rural Health	261QR1300X	B4[14]	Rural Health Clinic
Urgent Care	261QU0200X

Indicates primary specialty

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NPI Profile & details for BMH INC

NPI Number 1366630949

LBN Legal business name BMH INC

Authorized official JACOB ERICKSON - (CEO)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 10/09/2007

Last updated 02/11/2021 - About 5 years ago

Identifiers

ID	License #	36
ID	Medicaid	807947000
ID	Other	8N304	BLUE CROSS OF IDAHO
ID	Other	000010137702	BLUE SHIELD OF IDAHO

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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