POCATELLO HEALTH SERVICES LLC NPI 1992713432

NPI Information

  • NPI: 1992713432
  • Provider Name: POCATELLO HEALTH SERVICES, LLC
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • Other Name: POCATELLO CARDIOLOGY ASSOCIATES
  • Address: 777 HOSPITAL WAY BLDG A
    STE. 101
    POCATELLO, ID
    ZIP 83201
  • Phone: (208) 234-2001

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NPI Details

POCATELLO HEALTH SERVICES, LLC is a cardiovascular disease internal medicine in Pocatello, ID. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. POCATELLO HEALTH SERVICES, LLC NPI is 1992713432. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Pocatello Cardiology Associates.

The provider's business location address is:

777 HOSPITAL WAY BLDG A
STE. 101
POCATELLO, ID
ZIP 83201-753
Phone: (208) 234-2001
Fax: (208) 232-2195

The provider's authorized official is John Abreu .
The authorized official title is Cfo and has the following contact phone number (208) 239-1000.

The enumeration date for this NPI number is 8/3/2006 and was last updated on 11/7/2011.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1002507000MEDICAIDIDAHO
21373286MEDICARE ID-TYPE UNSPECIFIEDIDAHOMEDICARE GROUP NUMBER

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: 11/21/2025

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