IndividualActive
Alice Bollinger, RN
NPI 1275894065 · Primary Care Clinic/Center · Pocatello, ID
Provider details
- NPI number
- 1275894065
- Entity type
- Individual
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- N17580 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
444 Hospital Way
Pocatello, ID 83201-2745
Phone: (208) 232-6214
Fax: (208) 233-3416
Approximate (ZIP-level) locationGet directions
Mailing address
4939 Joy St
Chubbuck, ID 83202-2505
Registry dates
- Enumerated
- 2012-06-07
- Last updated
- 2012-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.