Portneuf Medical Practices

LBN: Pocatello Health Services, Llc
Portneuf Medical Practices is an health care organization with primary practice located at 777 Hospital Way , Pocatello ID 83201-5175. The organization recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as the primary health care specialty. Pocatello Health Services, Llc can be contacted via phone (208) 239-2065, or through Abreu, John E via phone (208) 239-1020.

Contact Information

Primary practice address
777 Hospital Way Pocatello ID 83201-5175
Phone: (208) 239-2065
Fax: (208) 239-3754
Website:
Map and Directions
Authorized official contact:
Name: Abreu, John E
Phone: (208) 239-1020

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X 12 Idaho

Profile Details

NPI number 1215165485
LBN Legal business name Pocatello Health Services, Llc
DBA Doing business as Portneuf Medical Practices
Authorized official Abreu, John E
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2009
Last updated Apr 18th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215165485 NPPES
Idaho MEDICAID 808437000

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