MVH BMC LLC (NPI# 1467816579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467816579 |
| Entity Type | Organization |
| Organization Name | MVH BMC LLC |
| Other Organization Name | BLACKFOOT MEDICAL CENTER |
| Practice Address |
1441 Parkway Dr Blackfoot ID 83221-1667 |
| Practice Telephone | 2087852600 |
| Mailing Telephone | 2087852600 |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2016-04-15 |
| Authorized Official Name | MR. NED HILLYARD (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Telephone | 2085572711 |
| Is Organization Subpart | Y |
| Parent Organization Name | MOUNTAIN VIEW HOSPITAL LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Blackfoot Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700206588 | Mvh Bmc LLC | Clinic/Center | 210 S Emerson Ave, Shelley, ID 83274-1229 | 2014-04-21 |
| 1649699174 | Mvh Bmc LLC | Surgery | 1441 Parkway Dr, Blackfoot, ID 83221-1667 | 2014-04-14 |
| 1649699216 | Mvh Bmc LLC | Nurse Practitioner | 37 S 2nd E, Rexburg, ID 83440-1906 | 2014-04-10 |
| Street Address |
1441 PARKWAY DR |
| City | BLACKFOOT |
| State | ID |
| Zip Code | 83221-1667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447253968 | Francis T Johansen | Internal Medicine | 1441 Parkway Dr, Blackfoot, ID 83221-1667 | 2005-05-30 |
| 1467942144 | Nicole Bair | Physical Therapist | 1441 Parkway Dr, Blackfoot, ID 83221-1667 | 2018-05-17 |
| 1720448590 | Max Barney | Nurse Practitioner | 1441 Parkway Dr, Blackfoot, ID 83221-1667 | 2016-03-07 |
| 1649699174 | Mvh Bmc LLC | Surgery | 1441 Parkway Dr, Blackfoot, ID 83221-1667 | 2014-04-14 |
| 1477984524 | Shantel Steffler | Nurse Practitioner | 1441 Parkway Dr, Blackfoot, ID 83221-1667 | 2013-11-27 |
| 1902149180 | R & J Pharmacy, Inc | Pharmacy | 1441 Parkway Dr, Blackfoot, ID 83221-1667 | 2013-04-05 |
| 1740580794 | Blackfoot Medical Clinic Surgeons | Surgery | 1441 Parkway Dr, Blackfoot, ID 83221-1667 | 2010-10-25 |
| 1356665087 | George G Hales | Family Medicine | 1441 Parkway Dr, Blackfoot, ID 83221-1667 | 2010-03-24 |
| 1649401407 | Jared L Mckee | Physical Therapist | 1441 Parkway Dr, Blackfoot, ID 83221-1667 | 2009-07-28 |
| 1255567210 | Hyrum Davenport | Nurse Practitioner | 1441 Parkway Dr, Blackfoot, ID 83221-1667 | 2009-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932711165 | Samantha Paige Averett | Social Worker | 60 N Broadway, Blackfoot, ID 83221 | 2020-08-19 |
| 1730711656 | Sara Marie Letham | Family Medicine | 33 S Thompson Lane, Blackfoot, ID 83221 | 2020-02-08 |
| 1962994962 | Tyler Thomas Wood | Student in an Organized Health Care Education/Training Program | 98 Poplar Street, Blackfoot, Id 83221, Blackfoot, ID 83221 | 2018-06-05 |
| 1801336276 | Bmh, Inc. | Internal Medicine | 235 Poplar St, Blackfoot, ID 83221 | 2017-03-03 |
| 1497119804 | Susan Doran | Social Worker | 720 E. Alice, Blackfoot, ID 83221 | 2016-04-12 |
| 1427412121 | Josie Russell Adkins | Counselor | 720 East Alice, Blackfoot, ID 83221 | 2016-04-08 |
| 1740590314 | Ashley Nichole Thomas | Physician Assistant | 710 E. Alice Street, Blackfoot, ID 83221 | 2010-10-18 |
| 1528373313 | Stephanie Lynn Henderson | Dietitian, Registered | 1555 Vernon Ave, Blackfoot, ID 83221 | 2010-08-17 |
| 1184850141 | Joy H. Taylor | Nurse Practitioner | 1441 Parkway Drive, Blackfoot, ID 83221 | 2009-06-04 |
| 1427232925 | Nathan E. Sneddon | Anesthesiology | 98 Poplar St Fl 3, Blackfoot, ID 83221 | 2007-12-20 |
| Find all providers in zip 83221 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922243088 | Bmh Inc | Clinic/Center | 1355 Parkway Dr, Blackfoot, ID 83221-1656 | 2008-12-03 |
| 1891984167 | Bmh Inc | Clinic/Center | 1425 Parkway Drive, Blackfoot, ID 83221-1758 | 2007-10-23 |
| 1770785875 | Bmh Inc. | Clinic/Center | 98 Poplar St, Blackfoot, ID 83221-1758 | 2007-06-01 |
| 1114907532 | Idaho Physicians Clinic | Clinic/Center | 98 Poplar St, Blackfoot, ID 83221-1758 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376160457 | North Canyon Jerome Clinic | Clinic/Center | 491 Heritage Dr, Jerome, ID 83338-6701 | 2020-07-06 |
| 1063970143 | Idaho Street Medical Clinic | Clinic/Center | 126 Idaho Ave., Homedale, ID 83628-8362 | 2019-03-07 |
| 1568950566 | North Canyon Medical Center, Inc. | Clinic/Center | 718 Hwy 30, Buhl, ID 83316 | 2018-04-25 |
| 1518377019 | North Canyon Medical Center, Inc. | Clinic/Center | 267 N. Canyon Drive, Gooding, ID 83330 | 2014-05-06 |
| 1700206588 | Mvh Bmc LLC | Clinic/Center | 210 S Emerson Ave, Shelley, ID 83274-1229 | 2014-04-21 |
| 1023271731 | Upper Valley Family Medicine Rhc | Clinic/Center | 530 Rigby Lake Dr, Rigby, ID 83442-1271 | 2008-07-03 |
| 1043387426 | Minidoka Memorial Hospital | Clinic/Center | 1308 8th St, Suite 1, Rupert, ID 83350-1530 | 2006-11-29 |
| 1356438816 | Gritman Medical Center Inc | Clinic/Center | 156 6th St, Potlatch, ID 83855 | 2006-10-06 |
| 1245267467 | Hti Physican Services of Utah,inc | Clinic/Center | 124 5th Street, Suite A, Wilder, ID 83676-0037 | 2006-06-26 |
| 1073559993 | St Benedicts Family Medical Center | Clinic/Center | 280 W Main St, Wendell, ID 83355-5201 | 2006-06-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.