BMH INC
Long Term Care Hospital
Blackfoot, Idaho
Provider NPI: 1730174830
Organization Information:Organization Name: BMH INC
Practice Location:
98 POPLAR ST BLACKFOOT, ID 83221 US
Tel: 208-782-3955 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
98 POPLAR ST BLACKFOOT, ID 83221 US
Tel: 208-782-3955 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336L0003X | Suppliers Pharmacy Long Term Care Pharmacy | ||
N | 3336C0002X | Suppliers Pharmacy | ||
N | 3336S0011X | Suppliers Pharmacy | ||
N | 333600000X | Suppliers Pharmacy | ||
Y | 3336I0012X | Suppliers Pharmacy | ID | 391HP |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2020444 | 01 | |
807790700 | ID | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin