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General NPI Number Information
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NPI Number | 1982805271
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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 | 05/31/2007
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Last Update Date | 12/16/2019
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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
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Country | US
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Telephone | 208-785-4100
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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 | 208-785-4100
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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 | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 36
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License Number State | ID
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