OrganizationActive
Pocatello Hospital, LLC
NPI 1700659935 · Non-Pharmacy Dispensing Site · Pocatello, ID
Provider details
- NPI number
- 1700659935
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Pocatello Health System, LLC
- Organization subpart
- Yes
- Authorized official
- Stephen Petrovich, Evp, General Counsel(615) 296-3594
Specialties & taxonomies
Suppliers
Practice location
777 Hospital Way
Pocatello, ID 83201-5175
Phone: (208) 239-1000
Approximate (ZIP-level) locationGet directions
Mailing address
340 Seven Springs Way Ste 100
Brentwood, TN 37027-5697
Registry dates
- Enumerated
- 2023-10-31
- Last updated
- 2023-10-31
- Certified
- 2023-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.