Portneuf Medical Center

NPI #1053353227 in Pocatello, Idaho

Provider Information

NPI Number
1053353227
Entity Type
Organization
Organization Name
Portneuf Medical Center
Primary Specialty
Home Health
Enumeration Date
Jun 12, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
651 MEMORIAL DR
State
Idaho
ZIP Code
83201-4071
Phone
(208) 239-1000

Authorized Official

Name
JOHNATHAN WILKER
Title
VP FINANCE & CFO
Phone
(208) 239-1020

Specialties & Taxonomy Codes

Specialty
Home Health

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