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PEBBLE CREEK EMERGENCY PHYSICIANS PLLC NPI 1386019784


NPI Information

NPI: 1386019784
Provider Name: PEBBLE CREEK EMERGENCY PHYSICIANS PLLC
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
777 HOSPITAL WAY
POCATELLO, ID
ZIP 83201
Phone: (469) 401-2386
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PEBBLE CREEK EMERGENCY PHYSICIANS PLLC is an emergency medicine in Pocatello, ID. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. PEBBLE CREEK EMERGENCY PHYSICIANS PLLC NPI is 1386019784. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

777 HOSPITAL WAY
POCATELLO, ID
ZIP 83201-175
Phone: (469) 401-2386

The provider's authorized official is Joseph H Gatewood .
The authorized official title is President and has the following contact phone number (469) 401-2386.

The enumeration date for this NPI number is 12/10/2015 and was last updated on 12/15/2015.


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
1207P00000XEmergency MedicineYes

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: 11/14/2023

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