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General NPI Number Information
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NPI Number | 1255539193
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Entity Type | Organization
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Legal Business Name | BMH, INC.
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Dates
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Enumeration Date | 07/03/2007
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 98 POPLAR ST
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City | BLACKFOOT
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State | ID
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Zip | 83221-1758
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Country | US
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Telephone | 208-782-3993
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Fax |
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Provider Business Mailing Address
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Address Line | 98 POPLAR ST
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City | BLACKFOOT
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State | ID
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Zip | 83221-1758
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Country | US
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Telephone | 208-782-3993
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JACOB ERICKSON
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Credential |
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Telephone | 208-785-3801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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