| NPI | 1215511241 |
|---|---|
| Doing Business As | BINGHAM HEALTHCARE SPECIALTY CLINIC AND URGENT CARE - YELLOWSTONE AVE |
| Entity Type | Organization |
| Authorized Contact | JACOB ERICKSON CEO 208-785-3801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2024-05-09 |