Portneuf Medical Center

LBN: Portneuf Medical Center
Portneuf Medical Center is an health care organization with primary practice located at 651 Memorial Dr , Pocatello ID 83201-4071. The organization recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as the primary health care specialty. Portneuf Medical Center can be contacted via phone (208) 239-2110, or through Wright, Kerry via phone (208) 239-2110.

Contact Information

Primary practice address
651 Memorial Dr Pocatello ID 83201-4071
Phone: (208) 239-2110
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wright, Kerry
Phone: (208) 239-2110

Health care specialties

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

Profile Details

NPI number 1205005832
LBN Legal business name Portneuf Medical Center
DBA Doing business as
Authorized official Wright, Kerry
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2008
Last updated Oct 7th, 2008 - about 18 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 1205005832 NPPES
Idaho MEDICAID 00228194

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