Pocatello Health Services, LLC
General Acute Care Hospital in Pocatello, ID. Organization (NPI-2).
NPI number1689802852
StatusActive
Last updated in NPPESJun 26, 2009
Details
- NPI
- 1689802852
- Entity type
- Organization (NPI-2)
- Legal business name
- Pocatello Health Services, LLC
- Organization subpart
- No
- Enumeration date
- Jun 26, 2009
- Last updated
- Jun 26, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 282N00000X | General Acute Care Hospital | 12 | ID | Yes |
Practice location
651 Memorial DrPocatello, ID 83201-4071
Phone 208-239-2110 · Fax 208-239-2145
Mailing address
651 Memorial DrPocatello, ID 83201-4071
Phone 208-239-2110 · Fax 208-239-2145
Authorized official
Jonathan R Wilker
Vp Finance & Cfo
2082391000
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