POCATELLO HOSPITAL LLC – Internal Medicine Physician, NPI 1760610935

POCATELLO HOSPITAL LLC is a healthcare provider. based in Pocatello, Idaho. specializing in Internal Medicine Physician. The organization holds a License No. 12 (ID). The NPI Number for POCATELLO HOSPITAL LLC is 1760610935

Main info

Organization
Name
POCATELLO HOSPITAL LLC
NPI
1760610935
Phone
(208) 239-2110
Address
651 MEMORIAL DR
Authorized Official
STEPHEN C. PETROVICH EVP, GENERAL COUNSEL
Enumeration Date
26 June 2009
Last Update Date
19 April 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:16State licenses:1Digital endpointsOther names

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Provider Addresses for POCATELLO HOSPITAL LLC

  • 651, Memorial Drive, Pocatello, Bannock County, Idaho, 83201, United States

    POCATELLO, ID 832014071

    Phone: (208) 239-2110

    Fax: (208) 239-2145

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83201)

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Reviews

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Frequently asked questions

What NPI should I save for POCATELLO HOSPITAL LLC?
Save NPI 1760610935 if you need a stable reference for POCATELLO HOSPITAL LLC.
Is POCATELLO HOSPITAL LLC active in the national directory?
POCATELLO HOSPITAL LLC's public NPI profile is in an active state.
Does POCATELLO HOSPITAL LLC list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for POCATELLO HOSPITAL LLC. Clinical services aligned with this taxonomy classification.
Does POCATELLO HOSPITAL LLC practice in Idaho?
You will see Pocatello, Idaho on file for POCATELLO HOSPITAL LLC alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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