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

Pocatello Hospital LLC

Organization General Acute Care Hospital · NPI 1790751055

Pocatello Hospital LLC is a General Acute Care Hospital 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.

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Practice location Address checks out

777 Hospital Way
Pocatello, ID 83201-5175
Phone: (208) 239-1000
Fax: (208) 239-1934
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Acute Care Hospital (primary) Taxonomy 282N00000X · Licence 12 (ID)

Record details

NPI number1790751055
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Petrovich — Evp, General Counsel · (615) 296-3594
Other names Portneuf Medical Center; Portneuf Medical Center
NPI enumeratedFebruary 27, 2006
Last updated in NPPESApril 19, 2022
Certification dateApril 19, 2022
Mailing address777 Hospital Way, Pocatello, ID 83201-5175

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