PHYSICIANS & SURGEONS CLINIC OF POCATELLO
NPI 1114192986
Clinic/Center - Multi-Specialty in Pocatello, ID

NPI Status: Active since April 23, 2008

Contact Information

1151 HOSPITAL WAY # D-100
POCATELLO, ID
ZIP 83201
Phone: (208) 239-8010
Fax: (208) 782-2974

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • Accepts Insurance

About PHYSICIANS & SURGEONS CLINIC OF POCATELLO

This page provides the complete NPI Profile along with additional information for Physicians & Surgeons Clinic Of Pocatello, a provider established in Pocatello, Idaho operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1114192986 assigned on April 2008. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Physicians & Surgeons Clinic Of Pocatello operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Physicians & Surgeons Clinic Of Pocatello. The authorized official of this NPI record is Jacob Erickson (Ceo)

NPI
1114192986
Provider Legal Name
BMH, INC.
Other Organization Name
PHYSICIANS & SURGEONS CLINIC OF POCATELLO
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1151 HOSPITAL WAY # D-100 POCATELLO, ID 83201
Location Phone
(208) 239-8010
Location Fax
(208) 782-2974
Mailing Address
98 POPLAR ST BLACKFOOT, ID 83221
Mailing Phone
(208) 785-4100
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-23-2008
Last Update Date
12-17-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103T00000XBehavioral Health & Social Service Providers

Psychologist

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Healthy Premier Bronze HSA - EPO
  • Healthy Premier Expanded Bronze Standard - EPO
  • Healthy Premier Gold Copay Office Visits - EPO
  • Healthy Premier Gold Standard - EPO
  • Healthy Premier Silver Copay Office Visits - EPO
  • Healthy Premier Silver Standard - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JACOB ERICKSON

Authorized Official Title
CEO
Authorized Official Phone
(208) 785-3801

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
002854200MEDICAID (05)ID 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1114192986, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 1 → 2 2 → 4 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 2 + 4 + 2 + 9 + 4 + 9 + 1 + 6 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1114192986.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114192986, enumerated as an "organization" on April 23, 2008.

The provider is located at 1151 HOSPITAL WAY # D-100 POCATELLO, ID 83201 and the phone number is (208) 239-8010.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

The provider might be accepting Accepts: University of Utah Health Plans, Medicare and. Please consult your insurance carrier or call the provider to verify.