Graduated: 2025
NPI: 1104700046
Practice Locations (4)
BMH INC
98 POPLAR ST
Blackfoot, ID 832211758
BMH INC
98 POPLAR ST
BLACKFOOT, ID 832211758
2087854100
BINGHAM MEMORIAL HOSPITAL
98 POPLAR ST
BLACKFOOT, ID 832211758
COMMUNITY CARE WEST SIDE LLC
765 S UTAH AVE
IDAHO FALLS, ID 834025093
2085852600
Source: CMS National Downloadable File, September 2026.