Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Heritage Physician and Resource Group LLC

Organization Clinical Social Worker · NPI 1962896027

Heritage Physician and Resource Group LLC is a Clinical Social Worker in Pocatello, Idaho. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1009 W Quinn Rd
Pocatello, ID 83202-2425
Phone: (208) 238-0088
Fax: (208) 238-0055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1962896027
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonny Fisher — Ceo · (208) 238-0088
NPI enumeratedMarch 26, 2015
Last updated in NPPESAugust 15, 2024
Certification dateAugust 15, 2024
Mailing address1009 W Quinn Rd, Pocatello, ID 83202-2425

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