Pocatello Free Clinic

NPI #1598508053 in Pocatello, Idaho

Provider Information

NPI Number: 1598508053
Entity Type: Organization
Organization Name: Pocatello Free Clinic
Primary Specialty: Clinic/Center
Enumeration Date: Jun 13, 2024
Last Updated: Jun 13, 2024

Practice Location

Address: 1001 N 7TH AVE N STE 155
City: Pocatello
State: Idaho
ZIP Code: 83201-5786
Phone: (208) 233-6245

Authorized Official

Name: SHERRIE JOSEPH
Title: EXECUTIVE DIRECTOR
Phone: (208) 233-6245

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X
Clinic/Center	261Q00000X	Primary

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