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

Portneuf Medical Center

Organization Clinic/Center · NPI 1578505335

Portneuf Medical Center is a Clinic/Center in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006

Practice location Address checks out

651 Memorial Dr
Pocatello, ID 83201-4071
Phone: (208) 282-4700
Fax: (208) 282-4969
Show map & directions

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

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence H12 (ID)

Record details

NPI number1578505335
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Johnathan Wilker — Vp Finance & Cfo · (208) 239-1020
Other names Pocatello (Isu) Family Medicine
NPI enumeratedJune 12, 2006
Last updated in NPPESAugust 22, 2020
Mailing address651 Memorial Dr, Pocatello, ID 83201-4071

Other providers in Pocatello