Pocatello Hospital, LLC

NPI #1700659935 in Pocatello, Idaho

Provider Information

NPI Number
1700659935
Entity Type
Organization
Organization Name
Pocatello Hospital, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
POCATELLO HEALTH SYSTEM, LLC
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Oct 31, 2023
Last Updated
Oct 31, 2023

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
Non-Pharmacy Dispensing Site

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