NPI 1295777274

Pocatello Hospital LLC

Organisation Psychiatric Hospital Unit Pocatello, ID

Practice location

Address: 777 Hospital Way, Pocatello, ID 83201-5175
Phone: (208) 239-1000
Fax: (208) 239-2134

Authorised official

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

Registered specialties

Psychiatric Hospital Unit Primary

Hospital Units Taxonomy 273R00000X Licence H12 (ID)

Other Psychiatric Unit providers in Idaho →

Registry record

NPI: 1295777274
Entity type: Organization
NPI issued: 12 Jun 2006
Record last updated: 19 Apr 2022

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.