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POCATELLO HEALTH SERVICES LLC NPI 1154089126


NPI Information

NPI: 1154089126
Provider Name: POCATELLO HEALTH SERVICES, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
2240 E CENTER ST
POCATELLO, ID
ZIP 83201
Phone: (208) 233-2100
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POCATELLO HEALTH SERVICES, LLC is a durable medical equipment medical supplies in Pocatello, ID. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. POCATELLO HEALTH SERVICES, LLC NPI is 1154089126. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2240 E CENTER ST
POCATELLO, ID
ZIP 83201-600
Phone: (208) 233-2100
Fax: (208) 233-3146

The provider's authorized official is Stephen C. Petrovich .
The authorized official title is Evp, General Counsel and has the following contact phone number (615) 296-3594.

The enumeration date for this NPI number is 12/7/2021 and was last updated on 12/7/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XX0005XOrthopaedic SurgerySports MedicineNo
2332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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