P Praxis·MD
● Active Type 2 · Organization

Pocatello Hospital Llc

Internal Medicine·Pocatello, ID· NPI 1760610935 · Enumerated 2009 · 16 years on NPI
Pocatello Hospital Llc is 1 of 504 internal medicine organizations in Idaho.
NPI age
16 years
Enumerated 2009-06-26
Primary specialty
Internal Medicine
Plus 2 secondary
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 504 active internal medicine providers in Idaho.

NPI age
16 years
≈ at median (16 yr)
Practice locations
1
0 secondary on file
Subspecialties
2
In the 44% of peers with subspecialties

NPI lifetime · 2009 → 2026

2009-06Enumerated in NPPES
2009 2026

Where they practice

Primary practice location
651 Memorial Dr
Pocatello, ID 832014071
📞 2082392110fax 2082392145
Mailing address
651 Memorial Dr
Pocatello, ID 832014071
📞 2082392110fax 2082392145

Authorized official

Stephen C. Petrovich
Evp, General Counsel
📞 6152963594

Individual providers at this organization

15 individual providers on file at this primary practice address.

Specialties

  • Internal Medicine Primary
    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
    taxonomy 207R00000X
  • 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...
    ID license #12 taxonomy 282N00000X
  • Nurse Anesthetist, Certified Registered
    (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in...
    taxonomy 367500000X

Practice context

Multi-provider organization. 15 individual providers on file at this primary address.

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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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