OrganizationActive
Portneuf Medical Center
NPI 1750323515 · General Acute Care Hospital · Pocatello, ID
Provider details
- NPI number
- 1750323515
- Entity type
- Organization
- Primary specialty
- General Acute Care HospitalHospitals
- Organization subpart
- No
- Authorized official
- Johnathan Wilker, Vp Finance & Cfo(208) 239-1020
- License
- H12 (ID)
Specialties & taxonomies
Hospitals
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) 239-1000
Fax: (208) 239-3741
Street-level locationGet directions
Mailing address
Po Box 4168
Pocatello, ID 83205-4168
Other names (DBA / former)
- Other name
- Portneuf Medical Practices
Registry dates
- Enumerated
- 2006-06-12
- Last updated
- 2008-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.