Pocatello (Isu) Family Medicine

LBN: Portneuf Medical Center
Pocatello (Isu) Family Medicine 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 Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Portneuf Medical Center can be contacted via phone (208) 282-4700, or through Wilker, Johnathan via phone (208) 239-1020.

Contact Information

Primary practice address
651 Memorial Dr Pocatello ID 83201-4071
Phone: (208) 282-4700
Fax: (208) 282-4969
Website:
Map and Directions
Authorized official contact:
Name: Wilker, Johnathan
Phone: (208) 239-1020

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X H12 Idaho

Profile Details

NPI number 1578505335
LBN Legal business name Portneuf Medical Center
DBA Doing business as Pocatello (Isu) Family Medicine
Authorized official Wilker, Johnathan
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2006
Last updated Aug 22nd, 2020 - about 6 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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