Portneuf ASC, LLC
Portneuf ASC, LLC is an Ambulatory Surgical Clinic/Center in Pocatello, Idaho. Registered with an NPI since 2017.
- In the registry since
- 2017
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1151 Hospital Way Bldg APocatello, ID 83201-5091
Phone: (208) 232-6616
Fax: (208) 232-6618
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
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X |
|---|
Record details
| NPI number | 1871016071 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Pocatello Health System, LLC |
| Authorized official | Stephen Petrovich — Evp · (615) 296-3000 |
| NPI enumerated | July 19, 2017 |
| Last updated in NPPES | July 19, 2017 |
| Mailing address | 1 Burton Hills Blvd Ste 250, Nashville, TN 37215-6195 |
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