Pocatello Hospital LLC
NPI #1295777274 in Pocatello, Idaho
Provider Information
- NPI Number
- 1295777274
- Entity Type
- Organization
- Organization Name
- Pocatello Hospital LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PORTNEUF MEDICAL CENTER
- Primary Specialty
- Psychiatric Unit
- Enumeration Date
- Jun 12, 2006
- Last Updated
- Apr 19, 2022
Practice Location
Authorized Official
- Name
- STEPHEN C. PETROVICH
- Title
- EVP GENERAL COUNSEL
- Phone
- (615) 296-3594
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Unit |
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