Cedar Creek Family Medicine

LBN: Bmh, Inc.
Cedar Creek Family Medicine is an health care organization with primary practice located at 98 Poplar St , Blackfoot ID 83221-1758. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Bmh, Inc. can be contacted via phone (208) 782-3700, or through Erickson, Jacob via phone (208) 785-3801.

Contact Information

Primary practice address
98 Poplar St Blackfoot ID 83221-1758
Phone: (208) 782-3700
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Erickson, Jacob
Phone: (208) 785-3801

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1326245010
LBN Legal business name Bmh, Inc.
DBA Doing business as Cedar Creek Family Medicine
Authorized official Erickson, Jacob
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2007
Last updated Dec 18th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326245010 NPPES
Idaho Other 8N216 BLUE CROSS GRP
Idaho Other 8L618 BLUE CROSS GRP
Idaho MEDICAID 002854200 BLUE CROSS GRP

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