POCATELLO HEALTH SERVICES, LLC (NPI# 1083852727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083852727 |
| Entity Type | Organization |
| Organization Name | POCATELLO HEALTH SERVICES, LLC |
| Other Organization Name | PORTNEUF CONTRACTED PHYSICIANS |
| Practice Address |
651 Memorial Dr Pocatello ID 83201-4071 |
| Mailing Address |
Po Box 4168 Pocatello ID 83205-4168 |
| Practice Telephone | 2082392065 |
| Mailing Telephone | 2082392065 |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2009-02-03 |
| Authorized Official Name | AMY OBRIEN (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Telephone | 2082392062 |
| Is Organization Subpart | Y |
| Parent Organization Name | LEGACY HOSPITAL PARTNERS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| Other Name | Type Code |
|---|---|
| Portneuf Contracted Physicians | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497051544 | Pocatello Health Services, LLC | Psychologist | 651 Memorial Dr, Pocatello, ID 83201-4071 | 2011-02-08 |
| 1689802852 | Pocatello Health Services, LLC | General Acute Care Hospital | 651 Memorial Dr, Pocatello, ID 83201-4071 | 2009-06-26 |
| 1215165485 | Pocatello Health Services, LLC | General Acute Care Hospital | 777 Hospital Way, Pocatello, ID 83201-5175 | 2009-06-26 |
| 1992713432 | Pocatello Health Services, LLC | Internal Medicine | 777 Hospital Way Bldg A, Ste. 101, Pocatello, ID 83201-2753 | 2006-08-03 |
| Street Address |
651 MEMORIAL DR |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-4071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871558239 | Michael L Francisco | Internal Medicine | 651 Memorial Dr, Portneuf Cancer Center, Pocatello, ID 83201 | 2006-04-19 |
| 1497051544 | Pocatello Health Services, LLC | Psychologist | 651 Memorial Dr, Pocatello, ID 83201-4071 | 2011-02-08 |
| 1124355813 | Phs Md #1, LLC | Clinic/Center | 651 Memorial Dr, Pocatello, ID 83201-4071 | 2009-11-17 |
| 1760719454 | Phs Md #2, LLC | Clinic/Center | 651 Memorial Dr, Pocatello, ID 83201-4071 | 2009-11-17 |
| 1689802852 | Pocatello Health Services, LLC | General Acute Care Hospital | 651 Memorial Dr, Pocatello, ID 83201-4071 | 2009-06-26 |
| 1760610935 | Pocatello Hospital, LLC | General Acute Care Hospital | 651 Memorial Dr, Pocatello, ID 83201-4071 | 2009-06-26 |
| 1295974368 | William E Hogan | Family Medicine | 651 Memorial Dr, Pocatello, ID 83201-4071 | 2009-02-13 |
| 1932369568 | Ana Joy Weinhold | Family Medicine | 651 Memorial Dr, Pocatello, ID 83201-4071 | 2008-06-17 |
| 1528228806 | Steven D Proctor | Social Worker | 651 Memorial Dr, Pocatello, ID 83201-4071 | 2008-06-11 |
| 1871753061 | Elisabeth Gayle Kinghorn | Clinical Nurse Specialist | 651 Memorial Dr, Pocatello, ID 83201-4071 | 2008-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689802852 | Pocatello Health Services, LLC | General Acute Care Hospital | 651 Memorial Dr, Pocatello, ID 83201-4071 | 2009-06-26 |
| 1215165485 | Pocatello Health Services, LLC | General Acute Care Hospital | 777 Hospital Way, Pocatello, ID 83201-5175 | 2009-06-26 |
| 1760610935 | Pocatello Hospital, LLC | General Acute Care Hospital | 651 Memorial Dr, Pocatello, ID 83201-4071 | 2009-06-26 |
| 1205005832 | Portneuf Medical Center | General Acute Care Hospital | 651 Memorial Dr, Pocatello, ID 83201-4071 | 2008-02-28 |
| 1679742209 | Portneuf Medical Center | General Acute Care Hospital | 651 Memorial Dr, Pocatello, ID 83201-4071 | 2008-02-28 |
| 1538351796 | Portneuf Medical Center | General Acute Care Hospital | 651 Memorial Dr, Pocatello, ID 83201-4071 | 2007-08-13 |
| 1750323515 | Portneuf Medical Center | General Acute Care Hospital | 651 Memorial Dr, Pocatello, ID 83201-4071 | 2006-06-12 |
| 1790751055 | Pocatello Hospital LLC | General Acute Care Hospital | 777 Hospital Way, Pocatello, ID 83201-5175 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508386707 | Emp Idaho Nampa, LLC | General Acute Care Hospital | 350 E Myrtle Street, Suite 100, Boise, ID 83702 | 2017-06-20 |
| 1225379183 | Sterling Hospital LLC | General Acute Care Hospital | 5412 S. Rock House Cir, Idaho Falls, ID 83406 | 2013-03-01 |
| 1023367828 | Stanley J Waters | General Acute Care Hospital | 1795 S Sub Station Rd, Emmett, ID 83617-9431 | 2012-09-07 |
| 1194908053 | Boise Intensive Care Hospital, Inc. | General Acute Care Hospital | 2131 South Bonito Way, Meridian, ID 83642-1659 | 2007-12-13 |
| 1346454337 | West Valley Medical Center | General Acute Care Hospital | 3720 S Indiana Ave, Caldwell, ID 83605 | 2007-05-09 |
| 1730203845 | Eastern Idaho Regional Medical Center | General Acute Care Hospital | 10701 S 1st E, Idaho Falls, ID 83404-7770 | 2007-03-16 |
| 1942308986 | Idaho Falls Recovery Center | General Acute Care Hospital | 1957 E 17th Street, Idaho Falls, ID 83404 | 2006-09-21 |
| 1609818483 | West Valley Medical Center Inc | General Acute Care Hospital | 381 B South Middleton Road, Middleton, ID 83644 | 2006-06-13 |
| 1992747570 | Madison Co Memorial Hospital | General Acute Care Hospital | 450 E. Main, Rexburg, ID 83440 | 2006-06-11 |
| 1144287756 | Bonner General Hospital, Inc. | General Acute Care Hospital | 520 N 3rd Ave, Sandpoint, ID 83864-1507 | 2006-04-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.