NPI age
11 years
Enumerated 2015-01-09
● Active Type 2 · Organization
1958
1958 is 1 of 3 general acute care hospital organizations in Idaho.
Primary specialty
General Acute Care Hospital
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Powell
Registered Nurse
Last NPPES update
2015-01-09
Source: monthly bulk 2026-05
How this organization compares
Across 3 active general acute care hospital providers in Idaho.
NPI age
11 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2015 → 2026
2015-01Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
730 E Clark St, #4657
Pocatello, ID 832055401
Mailing address
9344 National Blvd Apt 11
Los Angeles, CA 900342925
Authorized official
Loraine Powell
Registered Nurse
📞 6198384593
Specialties
-
General Acute Care Hospital PrimaryDefinition to come...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.