Pocatello Family Medicine

LBN: Pocatello Family Medicine
Pocatello Family Medicine is an health care organization with primary practice located at 465 Memorial Drive , Pocatello ID 83201-4008. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Pocatello Family Medicine can be contacted via phone (208) 282-4700, or through Johnson, Rose via phone (208) 282-4421.

Contact Information

Primary practice address
465 Memorial Drive Pocatello ID 83201-4008
Phone: (208) 282-4700
Fax: (208) 282-4696
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Rose
Phone: (208) 282-4421

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X NP-1199A Idaho

Profile Details

NPI number 1760739973
LBN Legal business name Pocatello Family Medicine
DBA Doing business as
Authorized official Johnson, Rose
Entity Organization
Organization subpart 1 No
Enumeration date Aug 7th, 2012
Last updated Aug 7th, 2012 - about 12 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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