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POCATELLO CHILDREN'S CLINIC
NPI 1023287828
Durable Medical Equipment & Medical Supplies in Pocatello, ID

Active since February 26, 2008
500 S 11TH AVE, STE 204, POCATELLO, ID 83201(208) 232-1443(208) 239-3434 Get Directions Write a Review

NPPES record last updated: February 26, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pocatello Children's Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POCATELLO CHILDREN'S CLINIC (NPI 1023287828) is a healthcare organization registered as a durable medical equipment & medical supplies in Pocatello, Idaho and active in the NPI registry since February 2008. The organization lists Jessica Perry, Administrator, as its authorized official.

NPPES Registry Identity

NPI1023287828
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePOCATELLO CHILDREN'S CLINIC
Location Address500 S 11TH AVE, STE 204Pocatello, ID 83201-4835
Mailing AddressPo Box 4730Pocatello, ID 83205-4730 · (208) 232-1443 · Fax (208) 239-3434
Phone(208) 232-1443
Fax(208) 239-3434
Organization SubpartNo
Authorized OfficialJessica PerryAdministrator · (208) 236-9600
Enumeration DateFebruary 26, 2008
✔ NPI 1023287828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
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.
500 S 11TH AVE, Pocatello, ID 83201
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 13D0520357

Pocatello Children's Clinic · Pocatello, ID
Expired · Aug 7, 2026
CLIA Number13D0520357
Laboratory TypePhysician Office
Certificate Effective DateAugust 8, 2024
Certificate Expiration DateAugust 7, 2026
Laboratory DirectorLaura M. Duty
Laboratory Phone(208) 232-1443
Laboratory LocationPocatello Children's Clinic1151 Hospital Way Bldg F, Pocatello, ID 83201
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN LACKEY MD
Specialist
500 S 11TH AVE
POCATELLO, ID 83201
Bannock County (208) 232-3103
JUNIPER SPRINGS INTERNAL MEDICINE
Internal Medicine
500 S 11TH AVE, SUITE 203
POCATELLO, ID 83201
Bannock County (208) 236-1600
JOHN L. CHRISTENSEN PHD
Psychologist (Clinical)
500 S 11TH AVE, SUITE 302
POCATELLO, ID 83201
Bannock County (208) 233-0150
JAMES MATTHEW CAMPBELL PA-C
Physician Assistant (Medical)
500 S 11TH AVE
POCATELLO, ID 83201
Bannock County (208) 232-6214
BARBARA ROBERTS NP
Nurse Practitioner (Women's Health)
500 S 11TH AVE, SUITE 4G
POCATELLO, ID 83201
Bannock County (208) 233-2161
LINDA L. BABBITT M.D.
Internal Medicine
500 S 11TH AVE, SUITE 203
POCATELLO, ID 83201
Bannock County (208) 232-5902
MRS. JENNA NICOLE THOMPSON LCSW
Social Worker (Clinical)
500 S 11TH AVE, SUITE 303
POCATELLO, ID 83201
Bannock County (208) 239-3815
JOHN L CHRISTENSEN PHD PC
Rehabilitation Counselor
500 S 11TH AVE, SUITE 302
POCATELLO, ID 83201
Bannock County (208) 233-0150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pocatello Children's Clinic's NPI number?

The NPI number for Pocatello Children's Clinic is 1023287828. It was assigned to this organization in the NPPES registry on February 26, 2008.

Where is Pocatello Children's Clinic located?

Pocatello Children's Clinic is located at 500 S 11th Ave Ste 204, Pocatello, ID 83201. The listed phone number is (208) 232-1443.

What is Pocatello Children's Clinic's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Pocatello Children's Clinic was last updated on February 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.