OrganizationActive
Portneuf Medical Center
NPI 1205005832 · General Acute Care Hospital · Pocatello, ID
Provider details
- NPI number
- 1205005832
- Entity type
- Organization
- Primary specialty
- General Acute Care HospitalHospitals
- Organization subpart
- No
- Authorized official
- Kerry Wright, Enrollment Specialist(208) 239-2110
- License
- 12 (ID)
Specialties & taxonomies
Hospitals
Profile Score
Detailed profile(87/100 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
651 Memorial Dr
Pocatello, ID 83201-4071
Phone: (208) 239-2110
Street-level locationGet directions
Mailing address
651 Memorial Dr
Pocatello, ID 83201-4071
Registry dates
- Enumerated
- 2008-02-28
- Last updated
- 2008-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.