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

Pocatello Family Medicine

Organization Primary Care Clinic/Center · NPI 1760739973

Pocatello Family Medicine is a Primary Care Clinic/Center in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2012.

Licensed in
ID
In the registry since
2012

Practice location Address checks out

465 Memorial Dr
Pocatello, ID 83201-4008
Phone: (208) 282-4700
Fax: (208) 282-4696
Show map & directions

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

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence NP-1199A (ID)

Record details

NPI number1760739973
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rose Johnson — Office Manager · (208) 282-4421
NPI enumeratedAugust 7, 2012
Last updated in NPPESAugust 7, 2012
Mailing address465 Memorial Dr, Pocatello, ID 83201-4008

Other providers in Pocatello