NPI 1013306307

1958

Organisation Rural Acute Care Hospital Pocatello, ID

Practice location

Address: 730 E Clark St #4657, Pocatello, ID 83205-5401
Phone: (619) 838-4593
Mailing address: 9344 National Blvd APT 11, Los Angeles, CA 90034-2925

Authorised official

Name: Loraine Powell
Title: Registered Nurse
Phone: (619) 838-4593

Registered specialties

Rural Acute Care Hospital Primary

Hospitals Taxonomy 282NR1301X Licence 728144 (CA)

Other General Acute Care Hospital providers in Idaho →

Registry record

NPI: 1013306307
Entity type: Organization
NPI issued: 9 Jan 2015
Record last updated: 9 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.