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

Pocatello Children & Adolescent Clinic

Organization Pediatrics Physician · NPI 1700898822

Pocatello Children & Adolescent Clinic is a Pediatrics Physician in Pocatello, Idaho. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

1151 Hospital Way Bldg F
Pocatello, ID 83201-5091
Phone: (208) 232-1443
Fax: (208) 239-3434
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1700898822
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPocatello Children's Clinic
Authorized official Jessica Perry — Administrator · (208) 236-9600
Other names Pocatello Children'S Clinic
NPI enumeratedAugust 13, 2006
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026
Mailing address1151 Hospital Way Bldg F, Pocatello, ID 83201-5091

Other providers in Pocatello