Portneuf Asc, Llc

LBN: Portneuf Asc, Llc
Portneuf Asc, Llc is an health care organization with primary practice located at 1151 Hospital Way Bldg A , Pocatello ID 83201-5091. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Portneuf Asc, Llc can be contacted via phone (208) 232-6616, or through Petrovich, Stephen C via phone (615) 296-3000.

Contact Information

Primary practice address
1151 Hospital Way Bldg A Pocatello ID 83201-5091
Phone: (208) 232-6616
Fax: (208) 232-6618
Website:
Map and Directions
Authorized official contact:
Name: Petrovich, Stephen C
Phone: (615) 296-3000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1871016071
LBN Legal business name Portneuf Asc, Llc
DBA Doing business as
Authorized official Petrovich, Stephen C
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 19th, 2017
Last updated Jul 19th, 2017 - about 9 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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