Whalio Doctors

NPI 1770977787

Concordia Health Care INC

Organisation Psychiatric Hospital Pocatello, ID

Practice location

Address
1200 Hospital Way, Pocatello, ID 83201-2708
Phone
(208) 232-2570
Fax
(208) 233-6769
Mailing address
2520 S 5th Ave, Pocatello, ID 83204-1923

Authorised official

Name
Rebecca Louise Taylor
Title
President & Ceo
Phone
(208) 221-9137

Registered specialties

Psychiatric Hospital Primary
Hospitals Taxonomy 283Q00000X Licence 59 (ID)

Registry record

NPI
1770977787
Entity type
Organization
NPI issued
27 Mar 2015
Record last updated
27 Mar 2015

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.