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Pocatello Hospital Llc

Psychiatric Unit·Pocatello, ID· NPI 1295777274 · Enumerated 2006 · 19 years on NPI
Pocatello Hospital Llc is 1 of 9 psychiatric unit organizations in Idaho.
NPI age
19 years
Enumerated 2006-06-12
Primary specialty
Psychiatric 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 psychiatric unit providers in Idaho.

NPI age
19 years
≈ at median (19 yr)
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 2082392134
Mailing address
777 Hospital Way
Pocatello, ID 832015175
📞 2082391000fax 2082392134

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

Hospital Units › Psychiatric Unit
  • Psychiatric Unit Primary
    In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of...
    ID license #H12 taxonomy 273R00000X

Identifiers

TypeValueNotes
05 (ID) 806570500

Other names on file (2)

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

  • Portneuf Medical Center
    Type code 3 recorded 2022-04-19
  • Portneuf Medical Center
    Type code 3 recorded 2009-12-17

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.

Related

Psychiatric Unit organizations in Idaho
→ Idaho hub
About this specialty
→ Specialty guide