Pocatello Hospital LLC

NPI #1144262114 in Pocatello, Idaho

Provider Information

NPI Number
1144262114
Entity Type
Organization
Organization Name
Pocatello Hospital LLC
Subpart
Yes (part of a larger organization)
Parent Organization
PORTNEUF MEDICAL CENTER
Primary Specialty
Rehabilitation Unit
Enumeration Date
Jun 12, 2006
Last Updated
Apr 19, 2022

Practice Location

Address
777 HOSPITAL WAY
State
Idaho
ZIP Code
83201-5175
Phone
(208) 239-1000

Authorized Official

Name
STEPHEN C. PETROVICH
Title
EVP, GENERAL COUNSEL
Phone
(615) 296-3594

Specialties & Taxonomy Codes

Specialty
Rehabilitation Unit

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