Healthcare Provider Details

I. General information

NPI: 1972412021
Provider Name (Legal Business Name): BMH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1151 HOSPITAL WAY BLDG D
POCATELLO ID
83201-5091
US

IV. Provider business mailing address

1151 HOSPITAL WAY
POCATELLO ID
83201-5091
US

V. Phone/Fax

Practice location:
  • Phone: 208-239-8000
  • Fax:
Mailing address:
  • Phone: 208-239-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number
License Number State

VIII. Authorized Official

Name: JACOB ERICKSON
Title or Position: CEO
Credential:
Phone: 208-785-3801