NPI 1700659935
Pocatello Hospital, LLC
Practice location
- Address
- 777 Hospital Way, Pocatello, ID 83201-5175
- Phone
- (208) 239-1000
- Mailing address
- 340 Seven Springs Way STE 100, Brentwood, TN 37027-5697
Authorised official
- Name
- Stephen C. Petrovich
- Title
- Evp, General Counsel
- Phone
- (615) 296-3594
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1700659935
- Entity type
- Organization
- NPI issued
- 31 Oct 2023
- Record last updated
- 31 Oct 2023
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.