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Pocatello Health Services, LLC

General Acute Care Hospital in Pocatello, ID. Organization (NPI-2).

NPI number1083852727
StatusActive
Last updated in NPPESFeb 3, 2009

Details

NPI
1083852727
Entity type
Organization (NPI-2)
Legal business name
Pocatello Health Services, LLC
Organization subpart
Yes
Enumeration date
Feb 3, 2009
Last updated
Feb 3, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
282N00000X General Acute Care Hospital––Yes

Other names

  • Portneuf Contracted Physicians (Doing Business As)

Practice location

651 Memorial Dr
Pocatello, ID 83201-4071

Phone 208-239-2065

Mailing address

Po Box 4168
Pocatello, ID 83205-4168

Phone 208-239-2065

Authorized official

Amy Obrien
Administrative Director
2082392062

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