Dr. Adam Wray'S Dermatology

LBN: Bmh, Inc.
Dr. Adam Wray'S Dermatology is an health care organization with primary practice located at 1151 Hospital Way Ste D , Pocatello ID 83201-5091. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Bmh, Inc. can be contacted via phone (208) 233-1451, or through Rudolph, Lisa via phone (208) 782-3992.

Contact Information

Primary practice address
1151 Hospital Way Ste D Pocatello ID 83201-5091
Phone: (208) 233-1451
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rudolph, Lisa
Phone: (208) 782-3992

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1548450034
LBN Legal business name Bmh, Inc.
DBA Doing business as Dr. Adam Wray'S Dermatology
Authorized official Rudolph, Lisa
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2007
Last updated Apr 17th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548450034 NPPES
Idaho Other 8N220 BLUE CROSS GRP

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