P Praxis·MD
● Active Type 2 · Organization Subpart

Pocatello Hospital Llc

Rehabilitation Unit·Pocatello, ID· NPI 1144262114 · Enumerated 2006 · 19 years on NPI
Pocatello Hospital Llc is 1 of 9 rehabilitation unit organizations in Idaho.
NPI age
19 years
Enumerated 2006-06-12
Primary specialty
Rehabilitation Unit
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Petrovich
Evp, General Counsel
Last NPPES update
2022-04-19
Source: monthly bulk 2026-05

How this organization compares

Across 9 active rehabilitation unit providers in Idaho.

NPI age
19 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-06Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
777 Hospital Way
Pocatello, ID 832015175
📞 2082391000fax 2082391934
Mailing address
777 Hospital Way
Pocatello, ID 832015175
📞 2082391000fax 2082391934

Authorized official

Stephen C. Petrovich
Evp, General Counsel
📞 6152963594

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

  • Rehabilitation Unit Primary
    In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum...
    ID license #H12 taxonomy 273Y00000X

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Portneuf Rehabilitation Center
    Type code 3 recorded 2022-04-19
  • Portneuf Rehabilitation Center
    Type code 3 recorded 2009-07-02

Practice context

Multi-provider organization. 20 individual providers on file at this primary address.

Subpart of Portneuf Medical Center.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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