NPI 1679742209

Portneuf Medical Center

Organisation General Acute Care Hospital Pocatello, ID

Practice location

Address: 651 Memorial Dr, Pocatello, ID 83201-4071
Phone: (208) 239-2110

Authorised official

Name: Kerry Wright
Title: Enrollment Specialist
Phone: (208) 239-2110

Registered specialties

General Acute Care Hospital Primary

Hospitals Taxonomy 282N00000X Licence 12 (ID)

Other General Acute Care Hospital providers in Idaho →

Registry record

NPI: 1679742209
Entity type: Organization
NPI issued: 28 Feb 2008
Record last updated: 28 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.