Pocatello Hospital Llc

LBN: Pocatello Hospital Llc
Pocatello Hospital Llc is an health care organization with primary practice located at 651 Memorial Dr , Pocatello ID 83201-4071. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Hospitals / General Acute Care Hospital, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Pocatello Hospital Llc can be contacted via phone (208) 239-2110, or through Petrovich, Stephen C. via phone (615) 296-3594.

Contact Information

Primary practice address
651 Memorial Dr Pocatello ID 83201-4071
Phone: (208) 239-2110
Fax: (208) 239-2145
Website:
Map and Directions
Authorized official contact:
Name: Petrovich, Stephen C.
Phone: (615) 296-3594

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Hospitals / General Acute Care Hospital 282N00000X 12 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X

Profile Details

NPI number 1760610935
LBN Legal business name Pocatello Hospital Llc
DBA Doing business as
Authorized official Petrovich, Stephen C.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2009
Last updated Apr 19th, 2022 - about 4 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.

Request for update

Popular Providers