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

Pocatello Health Services, LLC

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1154089126

Pocatello Health Services, LLC is a Sports Medicine (Orthopaedic Surgery) Physician in Pocatello, Idaho. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2240 E Center St
Pocatello, ID 83201-2600
Phone: (208) 233-2100
Fax: (208) 233-3146
Show map & directions

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

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X

Record details

NPI number1154089126
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Petrovich — Evp, General Counsel · (615) 296-3594
NPI enumeratedDecember 7, 2021
Last updated in NPPESDecember 7, 2021
Certification dateDecember 7, 2021
Mailing address1 Burton Hills Blvd Ste 250, Nashville, TN 37215-6195

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