PHYSICIANS AND SURGEONS OF SHELLEY
NPI 1366630949
Clinic/Center - Rural Health in Shelley, ID
About Physicians And Surgeons Of Shelley NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHYSICIANS AND SURGEONS OF SHELLEY (NPI 1366630949) is a healthcare organization registered as a rural health in Shelley, Idaho and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through December 25, 2026 and lists Jacob Erickson, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 3
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 13D1076383
Physicians & Surgeons Clinic Of Shelley · Shelley, IDOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bmh Inc's NPI number?
The NPI number for Bmh Inc is 1366630949. It was assigned to this organization in the NPPES registry on October 9, 2007. The provider is doing business as Physicians And Surgeons Of Shelley.
Where is Bmh Inc located?
Bmh Inc is located at 275 W Locust St, Shelley, ID 83274. The listed phone number is (208) 782-2960.
What is Bmh Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Does Bmh Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 13D1076383) is associated with this NPI, valid through December 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Bmh Inc was last updated on February 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Physicians And Surgeons Of Shelley · NPI 1366630949
Rural Health organization in Shelley, Idaho. Organization record, active in the CMS NPPES registry since October 9, 2007.
## Identity
- **NPI:** 1366630949 (Entity type: Organization)
- **Enumerated:** October 9, 2007
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Bmh Inc
- **Organization subpart:** Yes (part of Bmh Inc.)
- **Authorized official:** Jacob Erickson, CEO
## Practice location
- **Address:** 275 W LOCUST ST, Shelley, ID 83274-1230
- **Phone:** (208) 782-2960
## Record status
- **NPPES last updated:** February 11, 2021
- **Other identifiers:** Other 000010137702 (ID); Other 8N304 (ID); Medicaid 807947000 (ID)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1366630949) · Data from the CMS NPPES public registry.