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PORTNEUF MEDICAL CENTER
NPI 1205005832
General Acute Care Hospital in Pocatello, ID

Active since February 28, 2008
651 MEMORIAL DR, POCATELLO, ID 83201(208) 239-2110 Get Directions Write a Review

NPPES record last updated: October 7, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Portneuf Medical Center NPPES

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

PORTNEUF MEDICAL CENTER (NPI 1205005832) is a healthcare organization registered as a general acute care hospital in Pocatello, Idaho and active in the NPI registry since February 2008. The organization lists Kerry Wright, Enrollment Specialist, as its authorized official.

NPPES Registry Identity

NPI1205005832
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NamePORTNEUF MEDICAL CENTER
Location Address651 MEMORIAL DRPocatello, ID 83201-4071
Mailing Address651 Memorial DrPocatello, ID 83201-4071
Phone(208) 239-2110
Organization SubpartNo
Authorized OfficialKerry WrightEnrollment Specialist · (208) 239-2110
Enumeration DateFebruary 28, 2008
Last NPPES UpdateOctober 7, 2008
✔ NPI 1205005832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in ID · 12
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
651 MEMORIAL DR, Pocatello, ID 83201
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Other Identifiers 1

Medicaid00228194ID

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.

KENNETH RYAN MD
Emergency Medicine
651 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 239-1000
PORTNEUF MEDICAL CENTER
Home Health
651 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 239-1000
JACOB DELAROSA MD
Internal Medicine (Cardiovascular Disease)
651 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 239-1000
POCATELLO HEALTH SERVICES, LLC
General Acute Care Hospital
651 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 239-2065
PHS MD #1, LLC
Clinic/Center (Primary Care)
651 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 239-2110
RANDALL FOWLER MD
Emergency Medicine
651 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 239-1000
ROBERTA LOUISE COLE CRT
Respiratory Therapist, Certified (General Care)
651 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 239-1372
DAVID PAUL BRIZZEE
Family Medicine
651 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 282-4700

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 Portneuf Medical Center's NPI number?

The NPI number for Portneuf Medical Center is 1205005832. It was assigned to this organization in the NPPES registry on February 28, 2008.

Where is Portneuf Medical Center located?

Portneuf Medical Center is located at 651 Memorial Dr, Pocatello, ID 83201. The listed phone number is (208) 239-2110.

What is Portneuf Medical Center's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

When was this NPI record last updated?

The NPPES record for Portneuf Medical Center was last updated on October 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.