The .bin is the programming specific to the application. (engine, cam, vehicle, all that) Yours based on the info you provided is "BHAM". Easy to remember.

You'll need to find that .bin to work with. The .bin is the info loaded on the PROM or "chip" as some call it.
16168625 is the ECM. That's the actual "hardware" of the computer. Essentially the particular ciircuit board. Probably looks like any other GM ECM from about 1981-1992, but the circuitry and pinout is different somehow from others.
To try and make this make a tiny bit more sense, the 16168625 ECM was probably used in your style truck whether it was a 4.3, 5.7, or 7.4L application (just making those up, but probably pretty close) but the .bin would be different for each one, because obviously for starters, fueling and timing for each engine would be different. So while your 5.7 is a BHAM, a 7.4 might be a BYOB.
And to top that all off, the PROM is so specific, that it will be an entirely different .bin name (something other than BHAM) for EVERY possible configuration. California or federal, rear gear differences, AC or not, auto vs. manual, and so on. So they are quite precise regarding application. The good thing is, that can all be changed as long as you've got the software to do it, and the proper information (ECM definition and .bin) to play with.
What THAT means is that while you may not be able to download a BHAM .bin, you might be able to find one that was for a manual trans application or whatever, same year/ECM, and just change that one to your needs.