Pocatello Hospital LLC
NPI 1790751055 · General Acute Care Hospital · Pocatello, ID
Enrolled with Medicare as Part a Provider - Hospital · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pocatello Hospital LLC is a General Acute Care Hospital organization in Pocatello, ID (NPI 1790751055).
Provider details
- NPI number
- 1790751055
- Entity type
- Organization
- Primary specialty
- General Acute Care HospitalHospitals
- Organization subpart
- No
- Authorized official
- Stephen Petrovich, Evp, General Counsel(615) 296-3594
- License
- 12 (ID)
Specialties & taxonomies
Hospitals
Profile Score
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
Mailing address
Other names (DBA / former)
- Doing business as
- Portneuf Medical Center
- Doing business as
- Portneuf Medical Center
Registry dates
- Enumerated
- 2006-02-27
- Last updated
- 2022-04-19
- Certified
- 2022-04-19
Frequently asked questions
- What is Pocatello Hospital LLC's NPI number?
- Pocatello Hospital LLC's National Provider Identifier (NPI) is 1790751055, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pocatello Hospital LLC?
- Pocatello Hospital LLC is classified in the NPPES registry as General Acute Care Hospital (Hospitals).
- Where is Pocatello Hospital LLC located?
- Pocatello Hospital LLC's practice location on file with NPPES is 777 Hospital Way, Pocatello, ID 83201-5175.
- What is Pocatello Hospital LLC's phone number?
- The practice phone number listed in the NPPES registry for Pocatello Hospital LLC is (208) 239-1000.
- Does Pocatello Hospital LLC accept Medicare?
- Pocatello Hospital LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pocatello Hospital LLC?
- The authorized official listed on Pocatello Hospital LLC's NPPES record is Stephen Petrovich, Evp, General Counsel. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pocatello Hospital LLC's NPI active?
- Yes — Pocatello Hospital LLC's NPI (1790751055) is active in the NPPES registry as of the last update on 2022-04-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.