NPI 1417210568

Portneuf Medical Center

Organisation Critical Access Hospital Pocatello, ID

Practice location

Address: 777 Hospital Way, Pocatello, ID 83201-5175
Phone: (208) 239-2260
Mailing address: 1593 Pointview Dr, Pocatello, ID 83201-2800

Authorised official

Name: Norman Stephens
Title: Ceo
Phone: (208) 239-1004

Registered specialties

Critical Access Hospital Primary

Hospitals Taxonomy 282NC0060X Licence 24374A (ID)

Other General Acute Care Hospital providers in Idaho →

Registry record

NPI: 1417210568
Entity type: Organization
NPI issued: 22 Jun 2012
Record last updated: 22 Jun 2012

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.