NPI 1154089126

Pocatello Health Services, LLC

Organisation Durable Medical Equipment & Medical Supplies Pocatello, ID

Practice location

Address: 2240 E Center St, Pocatello, ID 83201-2600
Phone: (208) 233-2100
Fax: (208) 233-3146
Mailing address: 1 Burton Hills Blvd STE 250, Nashville, TN 37215-6195

Authorised official

Name: Stephen C. Petrovich
Title: Evp, General Counsel
Phone: (615) 296-3594

Registered specialties (2)

Durable Medical Equipment & Medical Supplies Primary

Suppliers Taxonomy 332B00000X

Other Durable Medical Equipment & Medical Supplies providers in Idaho →

Sports Medicine (Orthopaedic Surgery) Physician

Allopathic & Osteopathic Physicians Taxonomy 207XX0005X

Other Orthopaedic Surgery providers in Idaho →

Registry record

NPI: 1154089126
Entity type: Organization
NPI issued: 7 Dec 2021
Record last updated: 7 Dec 2021

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.