NPI 1023287828

Pocatello Children's Clinic

Organisation Durable Medical Equipment & Medical Supplies Pocatello, ID

Practice location

Address: 500 S 11th Ave STE 204, Pocatello, ID 83201-4835
Phone: (208) 232-1443
Fax: (208) 239-3434
Mailing address: PO Box 4730, Pocatello, ID 83205-4730

Authorised official

Name: Jessica Perry
Title: Administrator
Phone: (208) 236-9600

Registered specialties

Durable Medical Equipment & Medical Supplies Primary

Suppliers Taxonomy 332B00000X

Other Durable Medical Equipment & Medical Supplies providers in Idaho →

Registry record

NPI: 1023287828
Entity type: Organization
NPI issued: 26 Feb 2008
Record last updated: 26 Feb 2008

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.