| NPI | 1922512722 |
|---|---|
| Doing Business As | BINGHAM HEALTHCARE SPECIALTY CLINIC-MARTHA |
| Doing Business As | BINGHAM MEMORIAL SPECIALTY CLINIC-MARTHA |
| Entity Type | Organization |
| Authorized Contact | JACOB ERICKSON CEO 208-785-3801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2019-08-14 |