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Pocatello Hospital Llc

General Acute Care Hospital·Pocatello, ID· NPI 1790751055 · Enumerated 2006 · 20 years on NPI
Pocatello Hospital Llc is 1 of 70 general acute care hospital organizations in Idaho.
NPI age
20 years
Enumerated 2006-02-27
Primary specialty
General Acute Care Hospital
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 70 active general acute care hospital providers in Idaho.

NPI age
20 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-02Enumerated 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

Hospitals › General Acute Care Hospital
  • General Acute Care Hospital Primary
    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

Identifiers

TypeValueNotes
01 (ID) 130028 MEDICARE OSCAR

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 2009-07-01

Practice context

Multi-provider organization. 20 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.

Related

General Acute Care Hospital organizations in Idaho
→ Idaho hub
About this specialty
→ Specialty guide