OrganizationActive
Pocatello Children'S Clinic
NPI 1023287828 · Durable Medical Equipment & Medical Supplies · Pocatello, ID
Provider details
- NPI number
- 1023287828
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Jessica Perry, Administrator(208) 236-9600
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
500 S 11th Ave
Ste 204
Pocatello, ID 83201-4835
Phone: (208) 232-1443
Fax: (208) 239-3434
Street-level locationGet directions
Mailing address
Po Box 4730
Pocatello, ID 83205-4730
Registry dates
- Enumerated
- 2008-02-26
- Last updated
- 2008-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.