TETON OPEN MRI OF POCATELLO, LLC


Address: 246 N 18th Ave, Pocatello, ID 83201-3356
Phone: 2085520828

TETON OPEN MRI OF POCATELLO, LLC (NPI# 1194798397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194798397
Entity Type Organization
Organization Name TETON OPEN MRI OF POCATELLO, LLC
Practice Address 246 N 18th Ave
Pocatello
ID 83201-3356
Practice Telephone 2085520828
Practice Fax Number 2085520829
Mailing Telephone 2085520828
Mailing Fax Number 2085520829
Enumeration Date 2006-02-08
Last Update Date 2020-08-22
Authorized Official Name MS. BONNIE C GRAY (ADMINISTRATIVE ASSISTANT)
Authorized Official Telephone 2085520828
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
Ambulatory Health Care Facilities

Office Location

Street Address 246 N 18TH AVE
City POCATELLO
State ID
Zip Code 83201-3356

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598750838 John M Fornarotto Ophthalmology 246 N 18th Ave, Pocatello, ID 83201-3356 2005-09-13
1790838662 John Fornarotto Pllc Ophthalmology 246 N 18th Ave, Pocatello, ID 83201-3356 2007-01-22
1184653404 Ryan Scott Johnson Optometrist 246 N 18th Ave, Pocatello, ID 83201-3356 2006-06-30

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699175158 Allied Imaging Inc Clinic/Center 2043 E Center St Ste 115, Pocatello, ID 83201-3300 2014-09-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982042693 Alliance Healthcare Services Inc Clinic/Center 3581 E Overland Rd, Meridian, ID 83642-6757 2013-06-05
1316003726 Advanced Open Imaging Boise LLC Clinic/Center 3581 East Overland Rd, Meridian, ID 83642 2006-12-29
1437178399 Idaho Facial Imaging LLC Clinic/Center 8119 Ustick Rd, Suite 101, Boise, ID 83704-5754 2006-07-19
1053305144 Teton Mri of Idaho Falls Clinic/Center 2060 S Woodruff Ave, Idaho Falls, ID 83404-6396 2005-09-06
1982037107 Sjrmc Interventional Radiology Services LLC Clinic/Center 415 6th St, Lewiston, ID 83501-2431 2013-08-12
1659528511 Imaging Center of Idaho, LLC Clinic/Center 4519 Enterprise Way, Caldwell, ID 83605-8086 2008-08-22
1326230590 Cassia Physicians Billing Clinic/Center 1501 Hiland Ave, Burley, ID 83318-2682 2007-08-13
1508991373 Not-tsoo Gah-nee Indiane Health Services Clinic/Center Mission Road, Fort Hall, ID 83203 2007-02-22
1669483509 Twin Falls Imaging and Diagnostic Center Clinic/Center 562 Shoup Ave W, Twin Falls, ID 83301-5029 2006-08-09
1629031760 Swient, LLC Clinic/Center 900 N Liberty St, Suite 305, Boise, ID 83704-8704 2006-04-10
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Competitor

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City POCATELLO
Zip Code 83201

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Dataset Information

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.

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