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CAH131325-00 BMH, INC. DBA BINGHAM MEMORIAL HOSPITAL (Active)
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Main Details
Name
BMH, INC. DBA BINGHAM MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH131325-00
Medicare Provider Number
131325
Additional Details
Current Program Status
Active
Registration Date
9/7/2010
Participating Start Date
9/8/2010
Participating Approval Date
9/8/2010
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
BMH Inc.
Jake Erickson, CEO
(208) 785-3803
Primary Contact
BMH, Inc
Wade Hampton Flowers, Director of Pharmacy
(208) 782-3770
Addresses
Street Address
98 POPLAR
BLACKFOOT, ID 83221
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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