OrganizationActive
Prosper Health LLC
NPI 1407695224 · Substance Use Disorder Rehabilitation Hospital Unit · Pocatello, ID
Provider details
- NPI number
- 1407695224
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Hospital UnitHospital Units
- Organization subpart
- No
- Authorized official
- Chester Lackey, Owner(208) 757-0337
Specialties & taxonomies
Hospital Units
Practice location
1345 Hiline Rd
Pocatello, ID 83201-2943
Phone: (208) 757-0337
Approximate (ZIP-level) locationGet directions
Mailing address
675 Jefferson Ave # B
Pocatello, ID 83201-3729
Registry dates
- Enumerated
- 2024-05-21
- Last updated
- 2024-05-21
- Certified
- 2024-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.