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

Roth Family Medicine and Mental Health

Organization Primary Care Clinic/Center · NPI 1144168881

Roth Family Medicine and Mental Health is a Primary Care Clinic/Center in Pocatello, Idaho. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
4

Practice location Address checks out

444 Hospital Way Ste 422
Pocatello, ID 83201-2744
Phone: (208) 423-8132
Fax: (208) 203-6420
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Primary Care Clinic/Center Taxonomy 261QP2300X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X
Primary Care Nurse Practitioner Taxonomy 363LP2300X

Record details

NPI number1144168881
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Roth — Authorized Official · (208) 423-8132
NPI enumeratedMarch 24, 2026
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026
Mailing address444 Hospital Way Ste 422, Pocatello, ID 83201-2744

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