OrganizationActive
Portneuf Medical Center
NPI 1578505335 · Clinic/Center · Pocatello, ID
Portneuf Medical Center is a Clinic/Center organization in Pocatello, ID (NPI 1578505335).
Provider details
- NPI number
- 1578505335
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Johnathan Wilker, Vp Finance & Cfo(208) 239-1020
- License
- H12 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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) 282-4700
Fax: (208) 282-4969
Street-level locationGet directions
Mailing address
651 Memorial Dr
Pocatello, ID 83201-4071
Other names (DBA / former)
- Other name
- Pocatello (isu) Family Medicine
Registry dates
- Enumerated
- 2006-06-12
- Last updated
- 2020-08-22
Frequently asked questions
- What is Portneuf Medical Center's NPI number?
- Portneuf Medical Center's National Provider Identifier (NPI) is 1578505335, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Portneuf Medical Center?
- Portneuf Medical Center is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Portneuf Medical Center located?
- Portneuf Medical Center's practice location on file with NPPES is 651 Memorial Dr, Pocatello, ID 83201-4071.
- What is Portneuf Medical Center's phone number?
- The practice phone number listed in the NPPES registry for Portneuf Medical Center is (208) 282-4700.
- Who is the authorized official for Portneuf Medical Center?
- The authorized official listed on Portneuf Medical Center's NPPES record is Johnathan Wilker, Vp Finance & Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Portneuf Medical Center's NPI active?
- Yes — Portneuf Medical Center's NPI (1578505335) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.