NPI 1053353227
Portneuf Medical Center
Practice location
- Address
- 651 Memorial Dr, Pocatello, ID 83201-4071
- Phone
- (208) 239-1000
- Fax
- (208) 239-0408
Authorised official
- Name
- Johnathan Wilker
- Title
- Vp Finance & Cfo
- Phone
- (208) 239-1020
Registered specialties
Home Health Agency
Primary
Registry record
- NPI
- 1053353227
- Entity type
- Organization
- NPI issued
- 12 Jun 2006
- Record last updated
- 22 Aug 2020
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.