Mvh Bmc LLC

NPI #1649699174 in Blackfoot, Idaho

Provider Information

NPI Number: 1649699174
Entity Type: Organization
Organization Name: Mvh Bmc LLC
Subpart: Yes (part of a larger organization)
Parent Organization: MOUNTAIN VIEW HOSPITAL
Primary Specialty: Family Medicine
Enumeration Date: Apr 14, 2014
Last Updated: Apr 21, 2016

Practice Location

Address: 1441 PARKWAY DR
City: Blackfoot
State: Idaho
ZIP Code: 83221-1667
Phone: (208) 785-2600

Authorized Official

Name: MR. NED HILLYARD
Title: CHIEF COMPLIANCE OFFICER
Phone: (208) 557-2711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X
Nurse Practitioner	363L00000X
Physician Assistant	363A00000X
Clinic/Center - Urgent Care — Urgent Care	261QU0200X
Family Medicine	207Q00000X	Primary

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