Pocatello Hospital LLC
Pocatello Hospital LLC is a Psychiatric Hospital Unit in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2006.
- Licensed in
- ID
- In the registry since
- 2006
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
777 Hospital WayPocatello, ID 83201-5175
Phone: (208) 239-1000
Fax: (208) 239-2134
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric Hospital Unit (primary) | Taxonomy 273R00000X · Licence H12 (ID) |
|---|
Record details
| NPI number | 1295777274 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Portneuf Medical Center |
| Authorized official | Stephen Petrovich — Evp General Counsel · (615) 296-3594 |
| Other names | Portneuf Medical Center; Portneuf Medical Center |
| NPI enumerated | June 12, 2006 |
| Last updated in NPPES | April 19, 2022 |
| Certification date | April 19, 2022 |
| Mailing address | 777 Hospital Way, Pocatello, ID 83201-5175 |