OrganizationActive
Phs MD #2, LLC
NPI 1760719454 · Multi-Specialty Clinic/Center · Pocatello, ID
Provider details
- NPI number
- 1760719454
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Pocatello Health Services, LLC
- Organization subpart
- Yes
- Authorized official
- John Abreu, Cfo(208) 239-2110
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
651 Memorial Dr
Pocatello, ID 83201-4071
Phone: (208) 239-2110
Fax: (208) 239-2145
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 4168
Pocatello, ID 83205-4168
Other names (DBA / former)
- Other name
- Portneuf Medical Practices
Registry dates
- Enumerated
- 2009-11-17
- Last updated
- 2010-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.