PORTNEUF MEDICAL PRACTICES
NPI 1215165485
General Acute Care Hospital in Pocatello, ID

Q: What is Pocatello Health Services, LLC's NPI number?

The NPI number for Pocatello Health Services, LLC is 1215165485. It was assigned to this organization in the NPPES registry on June 26, 2009. The provider is doing business as Portneuf Medical Practices.

Q: What is Pocatello Health Services, LLC's specialty?

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

Active since June 26, 2009

777 HOSPITAL WAY, POCATELLO, ID 83201(208) 239-2065(208) 239-3754 Get Directions Write a Review

NPPES record last updated: April 18, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Portneuf Medical Practices NPPES

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

PORTNEUF MEDICAL PRACTICES (NPI 1215165485) is a healthcare organization registered as a general acute care hospital in Pocatello, Idaho and active in the NPI registry since June 2009. The organization lists John E Abreu, Cfo, as its authorized official.

NPPES Registry Identity

NPI1215165485

Entity TypeOrganization

Primary Taxonomy282N00000X

Legal Business NamePOCATELLO HEALTH SERVICES, LLC

Location Address777 HOSPITAL WAYPocatello, ID 83201-5175

Mailing AddressPo Box 4168Pocatello, ID 83205-4168 · (208) 239-2065 · Fax (208) 239-3754

Phone(208) 239-2065

Fax(208) 239-3754

Organization SubpartNo

Authorized OfficialJohn E AbreuCfo · (208) 239-1020

Enumeration DateJune 26, 2009

Last NPPES UpdateApril 18, 2012

✔ NPI 1215165485 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.

777 HOSPITAL WAY, Pocatello, ID 83201

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Other Names 1

Doing Business AsPortneuf Medical Practices

Other Identifiers 2

Medicaid808437000ID

Medicare PIN13690031

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

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.

MS. EUNICE GRACE GARDNER PH.D.

Psychologist (Adult Development & Aging)

777 HOSPITAL WAY
POCATELLO, ID 83201

Bannock County (208) 239-1710

JESS LUFKIN CRNA

Nurse Anesthetist, Certified Registered

777 HOSPITAL WAY
POCATELLO, ID 83201

Bannock County (208) 716-7215

ROGER A COOK MD

Anesthesiology

777 HOSPITAL WAY
POCATELLO, ID 83201

Bannock County (208) 239-1000

JASON MONTGOMERY NP-C

Nurse Practitioner (Family)

777 HOSPITAL WAY
POCATELLO, ID 83201

Bannock County (208) 239-2580

ALYSSA M WOODBURY PA-C

Physician Assistant

777 HOSPITAL WAY
POCATELLO, ID 83201

Bannock County (208) 239-1226

SHANNON ALISON WEBB PA-C

Physician Assistant

777 HOSPITAL WAY
POCATELLO, ID 83201

Bannock County (208) 239-1000

DR. ROBERT MICHAEL KENNEDY M.D.

Psychiatry & Neurology (Neurology)

777 HOSPITAL WAY, G15
POCATELLO, ID 83201

Bannock County (208) 239-2722

MEDICAL IMAGING ASSOC OF IDAHO FALLS, PA

Physician Assistant

777 HOSPITAL WAY
POCATELLO, ID 83201

Bannock County (208) 227-2600

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 Health Services, LLC's NPI number?

The NPI number for Pocatello Health Services, LLC is 1215165485. It was assigned to this organization in the NPPES registry on June 26, 2009. The provider is doing business as Portneuf Medical Practices.

Where is Pocatello Health Services, LLC located?

Pocatello Health Services, LLC is located at 777 Hospital Way, Pocatello, ID 83201. The listed phone number is (208) 239-2065.

What is Pocatello Health Services, LLC's specialty?

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

What insurance does Pocatello Health Services, LLC accept?

Health plans from Moda Health Plan, Inc. list Pocatello Health Services, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pocatello Health Services, LLC was last updated on April 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.