Pocatello Hospital LLC
Pocatello Hospital LLC is an Internal Medicine Physician in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2009.
- Licensed in
- ID
- In the registry since
- 2009
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
651 Memorial DrPocatello, ID 83201-4071
Phone: (208) 239-2110
Fax: (208) 239-2145
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
| Internal Medicine Physician (primary) | Taxonomy 207R00000X |
|---|---|
| General Acute Care Hospital | Taxonomy 282N00000X · Licence 12 (ID) |
| Certified Registered Nurse Anesthetist | Taxonomy 367500000X |
Record details
| NPI number | 1760610935 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stephen Petrovich — Evp, General Counsel · (615) 296-3594 |
| NPI enumerated | June 26, 2009 |
| Last updated in NPPES | April 19, 2022 |
| Certification date | April 19, 2022 |
| Mailing address | 651 Memorial Dr, Pocatello, ID 83201-4071 |
Other providers in Pocatello
-
Dr. Don E McInturff, MD
1151 Hospital Way Bldg F, Pocatello, ID 83201-5091 · (208) 232-1443
-
Carol Milder, NP
651 Memorial Dr, Pocatello, ID 83201-4071 · (208) 239-2110
-
Dr. Boston David Murdoch, DO
777 Hospital Way, Pocatello, ID 83201-5175 · (208) 239-2481
-
Pocatello Clinic of Internal Medicine PA
707 N 7th, Pocatello, ID 83201 · (208) 233-4562
-
Venumadhav Rayasam, MD
777 Hospital Way Ste 202, Pocatello, ID 83201-5175 · (208) 239-2640
-
Trey Rogers, DO
777 Hospital Way, Pocatello, ID 83201-5175 · (208) 239-1000
-
Dr. Ty A Salness, MD
845 W Center St Ste 200, Pocatello, ID 83204-4205 · (208) 232-6260
-
Aditya Singh
777 Hospital Way Ste 101, Pocatello, ID 83201-5175 · (208) 239-3899