Portneuf Medical Center

LBN: Pocatello Hospital Llc
Portneuf Medical Center is an health care organization with primary practice located at 777 Hospital Way , Pocatello ID 83201-5175. The organization recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as the primary health care specialty. Pocatello Hospital Llc can be contacted via phone (208) 239-1000, or through Petrovich, Stephen C. via phone (615) 296-3594.

Contact Information

Primary practice address
777 Hospital Way Pocatello ID 83201-5175
Phone: (208) 239-1000
Fax: (208) 239-1934
Website:
Map and Directions
Authorized official contact:
Name: Petrovich, Stephen C.
Phone: (615) 296-3594

Health care specialties

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

Profile Details

NPI number 1790751055
LBN Legal business name Pocatello Hospital Llc
DBA Doing business as Portneuf Medical Center
Authorized official Petrovich, Stephen C.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2006
Last updated Apr 19th, 2022 - about 2 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 1790751055 NPPES
Idaho Other 130028 MEDICARE OSCAR

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